EDGAR B BASSIG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088676

License Status

NOT RENEWED

Business

First Name

EDGAR B

Last Name

BASSIG

Business Name

EDGAR B BASSIG

Original Issue Date

06/24/1994

Effective Date

06/24/1994

Expiration Date

07/31/1996

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006