AMENAH BASITH - Physician Assistant License in Illinois | # 085011310

AMENAH BASITH

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011310

License Status

ACTIVE

Business

N

First Name

AMENAH

Last Name

BASITH

Business Name

AMENAH BASITH

Original Issue Date

06/27/2025

Effective Date

03/05/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

03/05/2026