HARALABOS BASIAKOS - Medical Doctor License in Illinois | # 125016092

HARALABOS BASIAKOS

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016092

License Status

EXPIRED

Business

N

First Name

HARALABOS

Last Name

BASIAKOS

Business Name

HARALABOS BASIAKOS

Original Issue Date

06/27/1983

Effective Date

06/27/1983

Expiration Date

07/01/1985

State

IL

Specialty/Qualifier

Ophthalmology

Ever Disciplined

N

LastModifiedDate

09/22/2006