DANIELLE ERICA BASS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121994

License Status

ACTIVE

Business

First Name

DANIELLE

Middle

ERICA

Last Name

BASS

Suffix

Business Name

DANIELLE ERICA BASS MD

Original Issue Date

09/24/2008

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

04/20/2023