WILLIAM SCOTT BASS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040819

License Status

NOT RENEWED

Business

First Name

WILLIAM SCOTT

Last Name

BASS

Suffix

Business Name

WILLIAM SCOTT BASS MD

Original Issue Date

11/28/1966

Effective Date

11/28/1966

Expiration Date

07/01/1982

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

09/20/2006