MURALIDHARAN R BASKER - Medical Doctor License in Illinois | # 125039782

MURALIDHARAN R BASKER

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039782

License Status

EXPIRED

Business

N

First Name

MURALIDHARAN

Middle

R

Last Name

BASKER

Business Name

MURALIDHARAN R BASKER

Original Issue Date

06/28/1999

Effective Date

06/28/1999

Expiration Date

06/27/2004

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

09/22/2006