RUDOLPH J BASILE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

First Name

RUDOLPH J

Last Name

BASILE

Suffix

DDS

Business Name

RUDOLPH J BASILE DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/17/2005