ERIC BASAPPA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168064

License Status

ACTIVE

Business

Title

First Name

ERIC

Last Name

BASAPPA

Business Name

ERIC BASAPPA MD

Original Issue Date

12/26/2023

Effective Date

12/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

02/03/2025