VINCENT BASHA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

First Name

VINCENT

Last Name

BASHA

Business Name

VINCENT BASHA

Original Issue Date

09/30/2023

Effective Date

09/30/2023

Expiration Date

09/30/2024

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025