ANDREW K BASHAM Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038008050

License Status

INACTIVE

Business

First Name

ANDREW K

Last Name

BASHAM

Suffix

Business Name

ANDREW K BASHAM

Original Issue Date

10/04/1996

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/07/2020