BASMAA ALI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099758

License Status

NOT RENEWED

Business

First Name

BASMAA

Last Name

ALI

Business Name

BASMAA ALI

Original Issue Date

03/03/1999

Effective Date

03/03/1999

Expiration Date

07/31/2002

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006