MICHAEL E BISGROVE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

MICHAEL E

Last Name

BISGROVE

Suffix

Business Name

MICHAEL E BISGROVE MD

Original Issue Date

08/21/1992

Effective Date

08/21/1992

Expiration Date

07/31/1996

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006