MICHAEL E BISGROVE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

MICHAEL E

Last Name

BISGROVE

Suffix

Business Name

MICHAEL E BISGROVE MD

Original Issue Date

05/02/1995

Effective Date

05/02/1995

Expiration Date

07/31/1996

City

MONTICELLO

State

Zip

61856

County

PIATT

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006