PRAVESH M S BASNET MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129849

License Status

ACTIVE

Business

Title

First Name

PRAVESH

Middle

M S

Last Name

BASNET

Business Name

PRAVESH M S BASNET MD

Original Issue Date

03/27/2012

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/01/2023