SAMIR BASATA MD SC Medical Corporation License verification

Business Entity

CANCELLED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042005529

License Status

CANCELLED

Business

Business Name

SAMIR BASATA MD SC

Original Issue Date

12/28/1983

Effective Date

12/28/1983

Expiration Date

01/01/1989

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

09/26/2006