Nina Basug Vicente Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036056780

Status

Expired (Not Renewed)

First issued

May 19, 1978

Expired

July 31, 1993

License holder

Nina Basug Vicente Md

Entity type

Individual

Classifications

• Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons

More from the license record

Current term began

05/19/1978

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