MARTHA K BASILE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

ACTIVE

Business

First Name

MARTHA K

Last Name

BASILE

Suffix

DDS

Business Name

MARTHA K BASILE DDS

Original Issue Date

08/18/1987

Effective Date

06/24/2024

Expiration Date

09/30/2027

City

MARENGO

State

Zip

60152

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2024