ELLIOT SUMNER BISHOP MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063667

License Status

CANCELLED

Business

Title

First Name

ELLIOT

Middle

SUMNER

Last Name

BISHOP

Business Name

ELLIOT SUMNER BISHOP MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2018

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

04/12/2016