MICHAEL E BASSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077334

License Status

NOT RENEWED

Business

First Name

MICHAEL E

Last Name

BASSE

Suffix

Business Name

MICHAEL E BASSE MD

Original Issue Date

07/09/1988

Effective Date

07/09/1988

Expiration Date

07/31/1990

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006