DOUGLAS K BASSO Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****48

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025