BASIL KENNETH WILLIAMS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059488

License Status

EXPIRED

Business

First Name

BASIL

Middle

KENNETH

Last Name

WILLIAMS

Business Name

BASIL KENNETH WILLIAMS

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2012

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

08/29/2012