DONALD CARLYLE BISBY Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000949

License Status

CANCELLED

Business

First Name

DONALD

Middle

CARLYLE

Last Name

BISBY

Business Name

DONALD CARLYLE BISBY

Original Issue Date

05/23/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

05/11/2017