MARIZA B BASSIG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032375

License Status

EXPIRED

Business

First Name

MARIZA B

Last Name

BASSIG

Business Name

MARIZA B BASSIG

Original Issue Date

10/21/1994

Effective Date

10/21/1994

Expiration Date

10/23/1997

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006