RICHARD D BASILE JR MD
Temporary Medical Permit
Illinois 125028714 Expired
This Illinois license was held by RICHARD D BASILE JR MD. The license is no longer active. It was granted on 06/11/1992 and expired on 06/30/1995
LICENSE DETAILS
- License Number: 125028714
- Category: TEMPORARY MEDICAL PERMIT
- Status: Expired
- Date Granted: 06/11/1992 (almost 33 years ago)
- Expiry Date: 06/30/1995 (almost 30 years ago)
LOCATIONS
A Address
DES PLAINES, IL 60016