SARAH ALISON BASAK MD - Medical Doctor License in Illinois | # 188000418

SARAH ALISON BASAK MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000418

License Status

EXPIRED

Business

N

First Name

SARAH

Middle

ALISON

Last Name

BASAK

Suffix

MD

Business Name

SARAH ALISON BASAK MD

Original Issue Date

08/01/2011

Effective Date

08/01/2011

Expiration Date

01/31/2012

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

03/01/2012