KATHERINE A BASCONE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020146

License Status

EXPIRED

Business

First Name

KATHERINE

Middle

Last Name

BASCONE

Business Name

KATHERINE A BASCONE

Original Issue Date

07/16/1986

Effective Date

07/16/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006