ERIC MICHAEL BASS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

ERIC MICHAEL

Last Name

BASS

Suffix

Business Name

ERIC MICHAEL BASS MD

Original Issue Date

10/21/1991

Effective Date

07/07/2020

Expiration Date

07/31/2023

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023