Perry Wilson Bascom Dds
ExpiredIllinois license 019015036
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019015036
- Status
- Expired (Not Renewed)
- First issued
- August 13, 1974
- License holder
- Perry Wilson Bascom Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 08/13/1974
Contact
Denver, CO 80206
Colorado County