LEEMOR BASSE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040934

License Status

EXPIRED

Business

First Name

LEEMOR

Last Name

BASSE

Suffix

Business Name

LEEMOR BASSE MD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006