License Directory

Rogelio Simon Basa Md

Expired

Illinois license 036046542

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036046542
Status
Expired (Not Renewed)
First issued
October 19, 1972
Expired
July 31, 1996
License holder
Rogelio Simon Basa Md
Entity type
Individual

Classifications

More from the license record

Current term began
10/19/1972

Other Illinois licenses under this name

  • IL
    Rogelio Simon Basa Md
    License 33*****40
    Licensed Physician Controlled Substance (Medical Board)
    Expired
    Collinsville, IL
    Expired Jul 31, 1996

Contact

Collinsville, IL 62234
Madison County