BASILE G LAMBOS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045261

License Status

INACTIVE

Business

First Name

BASILE G

Last Name

LAMBOS

Suffix

Business Name

BASILE G LAMBOS MD

Original Issue Date

02/04/1972

Effective Date

02/04/1972

Expiration Date

07/31/2005

City

SAVANNA

State

Zip

61074

County

GALLATIN

Ever Disciplined

LastModifiedDate

10/09/2006