Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****59

NOT RENEWED

N

KATHRYN

DIRKES

BASS

MD

KATHRYN DIRKES BASS MD

07/10/1998

08/20/2010

07/31/2011

HOFFMAN ESTATES

IL

60192

COOK

PRACTITIONER

II III IV V

N

04/05/2020