MAXIMINO P BASCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046077

License Status

NOT RENEWED

Business

First Name

MAXIMINO P

Last Name

BASCO

Suffix

Business Name

MAXIMINO P BASCO MD

Original Issue Date

08/17/1972

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

HACIENDA HEIGHTS

State

Zip

91745

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/01/2017