NEVILLE BASMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073825

License Status

NOT RENEWED

Business

First Name

NEVILLE

Last Name

BASMAN

Suffix

Business Name

NEVILLE BASMAN MD

Original Issue Date

09/26/1986

Effective Date

09/26/1986

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006