DANIELLE ERICA BASS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

First Name

DANIELLE

Middle

ERICA

Last Name

BASS

Suffix

Business Name

DANIELLE ERICA BASS MD

Original Issue Date

09/26/2008

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023