ELMIRA S BASALY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139250

License Status

ACTIVE

Business

Title

First Name

ELMIRA

Middle

Last Name

BASALY

Business Name

ELMIRA S BASALY MD

Original Issue Date

10/14/2015

Effective Date

06/04/2023

Expiration Date

07/31/2026

City

COCOA

State

Zip

32926

Ever Disciplined

LastModifiedDate

06/04/2023