RICHARD D BASILE JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089188

License Status

NOT RENEWED

Business

First Name

RICHARD D

Last Name

BASILE JR

Suffix

Business Name

RICHARD D BASILE JR MD

Original Issue Date

07/26/1994

Effective Date

07/26/1994

Expiration Date

07/31/1996

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006