BASANTI R VRUSHAB - Medical Doctor License in New Mexico | # 125039985

BASANTI R VRUSHAB

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039985

License Status

EXPIRED

Business

N

First Name

BASANTI

Middle

R

Last Name

VRUSHAB

Business Name

BASANTI R VRUSHAB

Original Issue Date

06/25/1999

Effective Date

06/25/1999

Expiration Date

06/24/2002

State

NM

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006