ROBERT H BASILE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

First Name

ROBERT H

Last Name

BASILE

Suffix

DMD

Business Name

ROBERT H BASILE DMD

Original Issue Date

06/05/1986

Effective Date

06/05/1986

Expiration Date

09/30/1988

City

MCHENRY

State

Zip

60050

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005