BASIL A ALI MD - Medical Doctor License in Illinois | # 125067466

BASIL A ALI MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067466

License Status

CANCELLED

Business

N

Title

MD

First Name

BASIL

Middle

A

Last Name

ALI

Business Name

BASIL A ALI MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

06/09/2015