ANDREW K BASHAM - Medical Doctor License in Illinois | # 038008050

ANDREW K BASHAM

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038008050

License Status

INACTIVE

Business

N

First Name

ANDREW K

Last Name

BASHAM

Suffix

DC

Business Name

ANDREW K BASHAM

Original Issue Date

10/04/1996

Effective Date

04/11/2017

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

10/07/2020