WHITNEY BASFORD MD - Medical Doctor License in Illinois | # 125077832

WHITNEY BASFORD MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077832

License Status

EXPIRED

Business

N

Title

MD

First Name

WHITNEY

Last Name

BASFORD

Business Name

WHITNEY BASFORD MD

Original Issue Date

06/25/2021

Effective Date

06/25/2021

Expiration Date

06/24/2024

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

10/30/2024