AHSAN M BASHA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093863

License Status

ACTIVE

Business

First Name

AHSAN M

Last Name

BASHA

Suffix

Business Name

AHSAN M BASHA MD

Original Issue Date

08/01/1996

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/06/2023