SANDEEP K BASANTI - Medical Doctor License in Illinois | # 188000538

SANDEEP K BASANTI

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000538

License Status

EXPIRED

Business

N

First Name

SANDEEP

Middle

K

Last Name

BASANTI

Business Name

SANDEEP K BASANTI

Original Issue Date

03/01/2013

Effective Date

03/01/2013

Expiration Date

08/31/2013

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

10/07/2013