HASEEB ILIAS BASHA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143961

License Status

ACTIVE

Business

Title

First Name

HASEEB

Last Name

ILIAS BASHA

Business Name

HASEEB ILIAS BASHA MD

Original Issue Date

07/27/2017

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/20/2023