LEE MICHAEL BASS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113606

License Status

ACTIVE

Business

First Name

LEE

Middle

MICHAEL

Last Name

BASS

Suffix

Business Name

LEE MICHAEL BASS MD

Original Issue Date

05/02/2005

Effective Date

07/02/2023

Expiration Date

07/31/2026

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

07/02/2023