BIBHUSAN BASNET - Medical Doctor License in Illinois | # 125065711

BIBHUSAN BASNET

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065711

License Status

EXPIRED

Business

N

First Name

BIBHUSAN

Last Name

BASNET

Business Name

BIBHUSAN BASNET

Original Issue Date

06/25/2014

Effective Date

06/25/2014

Expiration Date

06/24/2017

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/19/2017