RICHARD M BASS MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042003000

License Status

NOT RENEWED

Business

Business Name

RICHARD M BASS MD SC

Original Issue Date

06/29/1977

Effective Date

06/29/1977

Expiration Date

01/01/1983

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/26/2006