PAUL T BASILE Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004455

License Status

ACTIVE

Business

First Name

PAUL T

Last Name

BASILE

Business Name

PAUL T BASILE

Original Issue Date

06/23/1990

Effective Date

12/04/2024

Expiration Date

01/31/2027

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

02/26/2025