SIDDHARTH SINGH BASS MD - Medical Doctor License in Illinois | # 125025325

SIDDHARTH SINGH BASS MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025325

License Status

EXPIRED

Business

N

First Name

SIDDHARTH

Middle

SINGH

Last Name

BASS

Suffix

MD

Business Name

SIDDHARTH SINGH BASS MD

Original Issue Date

06/06/1990

Effective Date

06/06/1990

Expiration Date

10/24/1996

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

09/22/2006