BASIL JOHN PHOTOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036031830

License Status

NOT RENEWED

Business

First Name

BASIL JOHN

Last Name

PHOTOS

Suffix

Business Name

BASIL JOHN PHOTOS MD

Original Issue Date

03/11/1953

Effective Date

03/11/1953

Expiration Date

07/31/1999

City

PROSPECT HEIGHTS

State

Zip

60070

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006