LEWIS C BASKINS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011949

License Status

NOT RENEWED

Business

Title

DDS

First Name

LEWIS

Middle

Last Name

BASKINS

Business Name

LEWIS C BASKINS DDS

Original Issue Date

08/02/1961

Effective Date

08/03/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016

Case Number

1986000864

Action

Suspension

Discipline Start Date

08/01/1986

Discipline End Date

08/30/1986