WILLIAM SCOTT BASS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

WILLIAM SCOTT

Last Name

BASS

Suffix

Business Name

WILLIAM SCOTT BASS MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006