William Wallace Basham Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036059262

Status

Expired (Not Renewed)

First issued

September 6, 1979

Expired

July 31, 1987

License holder

William Wallace Basham Md

Entity type

Individual

Classifications

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

More from the license record

Current term began

09/06/1979

Other Illinois licenses under this name

• IL
  William Wallace Basham Md

  License 33*****57

  Licensed Physician Controlled Substance (Medical Board)
  Expired

  Rockford, IL

  Expired Jul 31, 1987

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