MICHELLE T BASS GOLDIN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100933

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

Last Name

BASS GOLDIN

Business Name

MICHELLE T BASS GOLDIN

Original Issue Date

08/09/1999

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023