RICHARD D BASILE JR MD - Medical Doctor License in Illinois | # 036089188

RICHARD D BASILE JR MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089188

License Status

NOT RENEWED

Business

N

First Name

RICHARD D

Last Name

BASILE JR

Suffix

MD

Business Name

RICHARD D BASILE JR MD

Original Issue Date

07/26/1994

Effective Date

07/26/1994

Expiration Date

07/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006