KYLE DAVID BASQUES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145470

License Status

ACTIVE

Business

Title

First Name

KYLE

Middle

DAVID

Last Name

BASQUES

Business Name

KYLE DAVID BASQUES MD

Original Issue Date

03/26/2018

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

04/14/2023