License holder summary

PAUL THOMAS BASILE is a Controlled Substance Registration - Podiatrist licensed to practice in Indiana. The address on file for PAUL THOMAS BASILE is LAKE SHORE FOOT & ANKLE CENTERS, 7550 HOHMAN AVE, MUNSTER IN 46321. This licensed professional license is not current. The license was granted 08/31/1992 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

PAUL THOMAS BASILE
Controlled Substance Registration - Podiatrist
License number
07000761B
Date granted
08/31/1992
Date expires
06/30/1993
Class
Controlled Substance Registration - Podiatrist
Status
Expired
Address
LAKE SHORE FOOT & ANKLE CENTERS, 7550 HOHMAN AVE, MUNSTER IN 46321
indianalicensing.org
ID 8431500
LAST UPDATED 2024-02-24 10:55:19 UTC

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