ROBERT C BASNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

ROBERT C

Last Name

BASNER

Suffix

Business Name

ROBERT C BASNER MD

Original Issue Date

08/12/1991

Effective Date

08/12/1991

Expiration Date

07/31/2002

City

DEERFIELD

State

Zip

60015

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006