ANDREW M BASILE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021215

License Status

EXPIRED

Business

First Name

ANDREW M

Last Name

BASILE

Suffix

Business Name

ANDREW M BASILE DO

Original Issue Date

06/08/1987

Effective Date

06/08/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006