KYLE DAVID BASQUES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061466

License Status

EXPIRED

Business

Title

First Name

KYLE

Middle

DAVID

Last Name

BASQUES

Business Name

KYLE DAVID BASQUES MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/07/2013