PAUL THOMAS BASILE
Controlled Substance Registration - Podiatrist
Indiana 07000761B Expired
This Indiana license was held by PAUL THOMAS BASILE. The license is no longer active. It was granted on 08/31/1992 and expired on 06/30/1993
LICENSE DETAILS
- License Number: 07000761B
- Category: CSR-Podiatrist
- Status: Expired
- Date Granted: 08/31/1992 (almost 32 years ago)
- Expiry Date: 06/30/1993 (about 31 years ago)
LOCATIONS
A Address
LAKE SHORE FOOT & ANKLE CENTERS, 7550 HOHMAN AVE, MUNSTER IN 46321