HARRISTON L BASS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013466

License Status

EXPIRED

Business

First Name

HARRISTON L

Last Name

BASS

Suffix

Business Name

HARRISTON L BASS MD

Original Issue Date

08/21/1981

Effective Date

08/21/1981

Expiration Date

07/01/1983

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006