NATHAN ADAM BASKIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136721

License Status

NOT RENEWED

Business

Title

First Name

NATHAN

Middle

ADAM

Last Name

BASKIN

Business Name

NATHAN ADAM BASKIN MD

Original Issue Date

10/23/2014

Effective Date

10/23/2014

Expiration Date

07/31/2017

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017