WILLIAM NEAL BASKIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054658

License Status

NOT RENEWED

Business

First Name

WILLIAM NEAL

Last Name

BASKIN

Suffix

Business Name

WILLIAM NEAL BASKIN MD

Original Issue Date

06/09/1977

Effective Date

04/24/2014

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/01/2017