ROGER EMIL BASSIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101866

License Status

INACTIVE

Business

First Name

ROGER

Middle

EMIL

Last Name

BASSIN

Suffix

Business Name

ROGER EMIL BASSIN MD

Original Issue Date

01/28/2000

Effective Date

01/28/2000

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

07081

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

11/02/2012

Case Number

2012006865

Action

Refuse To Renew

Discipline Start Date

10/26/2012

Discipline Reason

due to sister-state discipline in the state of Florida.