ALFRED BASS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000468

License Status

NOT RENEWED

Business

First Name

ALFRED

Last Name

BASS

Suffix

DDS

Business Name

ALFRED BASS DDS

Original Issue Date

11/23/1965

Effective Date

11/23/1965

Expiration Date

09/30/2000

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/17/2005