SAMIR BASATA MD - Medical Doctor License in Illinois | # 036064335

SAMIR BASATA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064335

License Status

NOT RENEWED

Business

N

First Name

SAMIR

Last Name

BASATA

Suffix

MD

Business Name

SAMIR BASATA MD

Original Issue Date

05/24/1982

Effective Date

05/24/1982

Expiration Date

07/31/1993

State

IL

Ever Disciplined

N

LastModifiedDate

02/27/2012