ZANE K BASRAWALA - Medical Doctor License in Illinois | # 125041713

ZANE K BASRAWALA

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041713

License Status

EXPIRED

Business

N

First Name

ZANE

Middle

K

Last Name

BASRAWALA

Business Name

ZANE K BASRAWALA

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

State

IL

Specialty/Qualifier

Urology

Ever Disciplined

N

LastModifiedDate

09/22/2006