BASEL IMAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145342

License Status

ACTIVE

Business

Title

First Name

BASEL

Last Name

IMAM

Business Name

BASEL IMAM MD

Original Issue Date

03/19/2018

Effective Date

05/14/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/21/2023