License Directory

William Wallace Basham Md

Expired

Illinois license 33*****57

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
33*****57
Status
Expired (Not Renewed)
First issued
January 1, 1997
Expired
July 31, 1987
License holder
William Wallace Basham Md
Entity type
Individual

Classifications

More from the license record

Controlled substance schedules
II III IV V

Other Illinois licenses under this name

  • IL
    William Wallace Basham Md
    License 036059262
    Licensed Physician and Surgeon (Medical Board)
    Expired
    Silver Spring, MD
    Expired Jul 31, 1987

Contact

Rockford, IL 61107
Boone County