ALFRED BASS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000079

License Status

NOT RENEWED

Business

First Name

ALFRED

Last Name

BASS

Suffix

DDS

Business Name

ALFRED BASS DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/17/2005