ALEXANDER G BASSUK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

ALEXANDER

Middle

Last Name

BASSUK

Suffix

Business Name

ALEXANDER G BASSUK MD

Original Issue Date

10/14/2003

Effective Date

10/14/2003

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011