MICHAEL S BASUEL - Medical Doctor License in Illinois | # 125031707

MICHAEL S BASUEL

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031707

License Status

EXPIRED

Business

N

First Name

MICHAEL

Middle

S

Last Name

BASUEL

Business Name

MICHAEL S BASUEL

Original Issue Date

06/06/1994

Effective Date

06/06/1994

Expiration Date

06/21/1997

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006