EDGAR B BASSIG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028977

License Status

EXPIRED

Business

First Name

EDGAR B

Last Name

BASSIG

Business Name

EDGAR B BASSIG

Original Issue Date

07/06/1992

Effective Date

07/06/1992

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006