DEBORAH BASILE MD - Medical Doctor License in Illinois | # 125012589

DEBORAH BASILE MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012589

License Status

EXPIRED

Business

N

First Name

DEBORAH

Last Name

BASILE

Suffix

MD

Business Name

DEBORAH BASILE MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

06/24/1983

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006