DONALD CARLYLE BISBY Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****70

License Status

ACTIVE

Business

First Name

DONALD

Middle

CARLYLE

Last Name

BISBY

Business Name

DONALD CARLYLE BISBY

Original Issue Date

05/20/2020

Effective Date

01/05/2025

Expiration Date

01/31/2027

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025