EVELYN GANADEN BASCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055675

License Status

NOT RENEWED

Business

First Name

EVELYN GANADEN

Last Name

BASCO

Suffix

Business Name

EVELYN GANADEN BASCO MD

Original Issue Date

09/23/1977

Effective Date

06/23/2011

Expiration Date

07/31/2014

City

OAK BROOK TERRACE

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2003003422

Action

Probation

Discipline Start Date

06/29/2005

Discipline End Date

12/12/2007