GAIL M BASCH MD - Medical Doctor License in Illinois | # 125022397

GAIL M BASCH MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022397

License Status

EXPIRED

Business

N

First Name

GAIL M

Last Name

BASCH

Suffix

MD

Business Name

GAIL M BASCH MD

Original Issue Date

05/14/1988

Effective Date

05/14/1988

Expiration Date

06/27/1991

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006