PAUL T BASILE - Podiatrist License in Illinois | # 016004455

PAUL T BASILE

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004455

License Status

ACTIVE

Business

N

First Name

PAUL T

Last Name

BASILE

Business Name

PAUL T BASILE

Original Issue Date

06/23/1990

Effective Date

12/04/2024

Expiration Date

01/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

02/26/2025