JMI LILINOE BASSETT DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

First Name

JMI

Middle

LILINOE

Last Name

BASSETT

Suffix

DMD

Business Name

JMI LILINOE BASSETT DMD

Original Issue Date

10/16/2008

Effective Date

10/16/2008

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60604

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009