MICHELLE T BASS GOLDIN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

Last Name

BASS GOLDIN

Business Name

MICHELLE T BASS GOLDIN

Original Issue Date

03/28/2001

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023