ROBERT H BASILE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016710

License Status

ACTIVE

Business

First Name

ROBERT H

Last Name

BASILE

Suffix

DMD

Business Name

ROBERT H BASILE DMD

Original Issue Date

07/03/1979

Effective Date

06/06/2024

Expiration Date

09/30/2027

City

CRYSTAL LAKE

State

Zip

60012

Ever Disciplined

LastModifiedDate

06/06/2024