BASANT FARGHALY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118412

License Status

INACTIVE

Business

First Name

BASANT

Last Name

FARGHALY

Suffix

Business Name

BASANT FARGHALY MD

Original Issue Date

05/16/2007

Effective Date

05/16/2007

Expiration Date

07/31/2008

City

SAINT AUGUSTINE

State

Zip

32092

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/21/2008