VICTORIA BASS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142410

License Status

INACTIVE

Business

Title

First Name

VICTORIA

Last Name

BASS

Business Name

VICTORIA BASS MD

Original Issue Date

02/14/2017

Effective Date

04/23/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2020