DEBORAH BASILE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

DEBORAH

Last Name

BASILE

Suffix

Business Name

DEBORAH BASILE MD

Original Issue Date

06/13/1984

Effective Date

06/08/2017

Expiration Date

09/30/2020

City

CRESTWOOD

State

Zip

60445

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021