ANGEL BERNARDO BASSUK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

ANGEL BERNARDO

Last Name

BASSUK

Suffix

Business Name

ANGEL BERNARDO BASSUK MD

Original Issue Date

12/02/1985

Effective Date

10/08/2009

Expiration Date

07/31/2011

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020