FAUZIA R BASIT - Medical Doctor License in Illinois | # 125028649

FAUZIA R BASIT

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028649

License Status

EXPIRED

Business

N

First Name

FAUZIA

Middle

R

Last Name

BASIT

Business Name

FAUZIA R BASIT

Original Issue Date

06/08/1992

Effective Date

06/08/1992

Expiration Date

06/30/1995

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006