EKTA BASNET MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125483

License Status

NOT RENEWED

Business

First Name

EKTA

Last Name

BASNET

Suffix

Business Name

EKTA BASNET MD

Original Issue Date

04/13/2010

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021