NATHAN ADAM BASKIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

Title

First Name

NATHAN

Middle

ADAM

Last Name

BASKIN

Business Name

NATHAN ADAM BASKIN MD

Original Issue Date

10/23/2014

Effective Date

10/23/2014

Expiration Date

07/31/2017

City

RIVER FOREST

State

Zip

60305

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017