MARY COLLEEN BINGHAM MD 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

MARY COLLEEN

Last Name

BINGHAM

Suffix

Business Name

MARY COLLEEN BINGHAM MD

Original Issue Date

10/25/1994

Effective Date

07/14/2020

Expiration Date

07/31/2023

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023