BASEMA ISMAIL DIBAS MD - Medical Doctor License in Pennsylvania | # 036144300

BASEMA ISMAIL DIBAS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144300

License Status

NOT RENEWED

Business

N

Title

MD

First Name

BASEMA

Middle

ISMAIL

Last Name

DIBAS

Business Name

BASEMA ISMAIL DIBAS MD

Original Issue Date

09/11/2017

Effective Date

09/30/2020

Expiration Date

07/31/2023

State

PA

Ever Disciplined

N

LastModifiedDate

11/30/2023