BASMA AL-BAST MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153155

License Status

ACTIVE

Business

Title

First Name

BASMA

Last Name

AL-BAST

Business Name

BASMA AL-BAST MD

Original Issue Date

05/27/2020

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/09/2023