PAUL T BASILE Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****46

License Status

ACTIVE

Business

First Name

PAUL T

Last Name

BASILE

Business Name

PAUL T BASILE

Original Issue Date

10/11/1990

Effective Date

12/04/2024

Expiration Date

01/31/2027

City

PLAINFIELD

State

Zip

60544

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025