MARY L BISKUP Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

BISKUP

Business Name

MARY L BISKUP

Original Issue Date

07/15/1994

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

PALATINE

State

Zip

60067

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023