ASIT P BASU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046544

License Status

NOT RENEWED

Business

First Name

ASIT P

Last Name

BASU

Suffix

Business Name

ASIT P BASU MD

Original Issue Date

10/19/1972

Effective Date

05/02/2011

Expiration Date

07/31/2014

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

11/17/2014