DOUGLAS K BASSO Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005775

License Status

ACTIVE

Business

First Name

DOUGLAS

Middle

Last Name

BASSO

Business Name

DOUGLAS K BASSO

Original Issue Date

12/06/2017

Effective Date

01/07/2025

Expiration Date

01/31/2027

City

ALTON

State

Zip

62002

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

02/26/2025