GASTON CARLOS BASLET MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

GASTON

Middle

CARLOS

Last Name

BASLET

Suffix

Business Name

GASTON CARLOS BASLET MD

Original Issue Date

05/12/2006

Effective Date

06/13/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014