NOEL MYRON BASS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037497

License Status

INACTIVE

Business

First Name

NOEL MYRON

Last Name

BASS

Suffix

Business Name

NOEL MYRON BASS MD

Original Issue Date

11/22/1961

Effective Date

04/28/2011

Expiration Date

07/31/2014

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

04/08/2014