GREGG EVAN BASSETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

GREGG EVAN

Last Name

BASSETT

Suffix

Business Name

GREGG EVAN BASSETT MD

Original Issue Date

12/06/1996

Effective Date

12/06/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020