MARIE LOU D BISONAYA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

MARIE LOU D

Last Name

BISONAYA

Suffix

Business Name

MARIE LOU D BISONAYA MD

Original Issue Date

01/01/1997

Effective Date

07/25/2017

Expiration Date

09/30/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021