MARTHA K BASILE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004602

License Status

NOT RENEWED

Business

First Name

MARTHA K

Last Name

BASILE

Business Name

MARTHA K BASILE

Original Issue Date

07/21/1981

Effective Date

07/21/1981

Expiration Date

09/30/1988

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005