DEBORAH E BISHOP Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000302

License Status

EXPIRED

Business

First Name

DEBORAH

Middle

Last Name

BISHOP

Business Name

DEBORAH E BISHOP

Original Issue Date

10/10/1995

Effective Date

10/10/1995

Expiration Date

01/19/1996

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/25/2006