STEVEN ROGER BASCOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059699

License Status

NOT RENEWED

Business

First Name

STEVEN ROGER

Last Name

BASCOM

Suffix

Business Name

STEVEN ROGER BASCOM MD

Original Issue Date

11/09/1979

Effective Date

11/09/1979

Expiration Date

07/01/1982

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006