GAIL M BASCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

GAIL M

Last Name

BASCH

Suffix

Business Name

GAIL M BASCH MD

Original Issue Date

11/15/1990

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023