IMAD M AL-BASHA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079335

License Status

ACTIVE

Business

First Name

IMAD M

Last Name

AL-BASHA

Suffix

Business Name

IMAD M AL-BASHA MD

Original Issue Date

08/15/1989

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/29/2023

Case Number

1996012531

Action

Fine

Discipline Start Date

04/15/1998

Discipline Reason

Failed to properly document services actually rendered to a patient and billed a patient for services not rendered. $1000 FINE DUE IMMEDIATELY - PAID