ROBERT H BASILE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

ACTIVE

Business

First Name

ROBERT H

Last Name

BASILE

Suffix

DMD

Business Name

ROBERT H BASILE DMD

Original Issue Date

01/01/1998

Effective Date

07/29/2024

Expiration Date

09/30/2027

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2024