RUDOLPH J BASILE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010156

License Status

NOT RENEWED

Business

First Name

RUDOLPH J

Last Name

BASILE

Suffix

DDS

Business Name

RUDOLPH J BASILE DDS

Original Issue Date

08/21/1952

Effective Date

08/21/1952

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005