BOAZ YEHUDA BISHOP MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076182

License Status

CANCELLED

Business

Title

First Name

BOAZ

Middle

YEHUDA

Last Name

BISHOP

Business Name

BOAZ YEHUDA BISHOP MD

Original Issue Date

07/13/2022

Effective Date

07/13/2022

Expiration Date

07/12/2023

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Nephrology

Ever Disciplined

LastModifiedDate

07/13/2022