BASIL HUSAYN HAZIMAH DPM - Podiatrist License in Ohio | # 016005370

BASIL HUSAYN HAZIMAH DPM

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005370

License Status

INACTIVE

Business

N

First Name

BASIL

Middle

HUSAYN

Last Name

HAZIMAH

Suffix

DPM

Business Name

BASIL HUSAYN HAZIMAH DPM

Original Issue Date

06/03/2008

Effective Date

11/08/2020

Expiration Date

01/31/2023

State

OH

Ever Disciplined

N

LastModifiedDate

01/28/2023