BOAZ YEHUDA BISHOP MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

Title

First Name

BOAZ

Middle

YEHUDA

Last Name

BISHOP

Business Name

BOAZ YEHUDA BISHOP MD

Original Issue Date

10/24/2023

Effective Date

10/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2021