VIRLYN LEWIS BISHOP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

Title

First Name

VIRLYN

Middle

LEWIS

Last Name

BISHOP

Business Name

VIRLYN LEWIS BISHOP MD

Original Issue Date

04/20/2012

Effective Date

04/20/2012

Expiration Date

07/31/2014

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014