FELLY V BASA MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042002092

License Status

NOT RENEWED

Business

Business Name

FELLY V BASA MD SC

Original Issue Date

06/07/1974

Effective Date

06/07/1974

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006