MARY L BISKUP Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

BISKUP

Business Name

MARY L BISKUP

Original Issue Date

08/12/1991

Effective Date

08/12/1991

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020