ELLIOT SUMNER BISHOP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

Title

First Name

ELLIOT

Middle

SUMNER

Last Name

BISHOP

Business Name

ELLIOT SUMNER BISHOP MD

Original Issue Date

11/16/2016

Effective Date

05/08/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021