LEE MICHAEL BASS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

LEE

Middle

MICHAEL

Last Name

BASS

Suffix

Business Name

LEE MICHAEL BASS MD

Original Issue Date

05/02/2005

Effective Date

07/02/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/02/2023