CHARLES GORDON BISHOP JR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

GORDON

Last Name

BISHOP

Suffix

Business Name

CHARLES GORDON BISHOP JR

Original Issue Date

08/07/2003

Effective Date

08/07/2003

Expiration Date

07/31/2008

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020