EVELYN G BASCO MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042003585

License Status

NOT RENEWED

Business

Business Name

EVELYN G BASCO MD SC

Original Issue Date

03/30/1979

Effective Date

12/12/2011

Expiration Date

01/01/2013

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

02/21/2013