BRYCE ALEXANDER BASQUES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066853

License Status

EXPIRED

Business

Title

First Name

BRYCE

Middle

ALEXANDER

Last Name

BASQUES

Business Name

BRYCE ALEXANDER BASQUES MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

11/19/2020