FATHY Z BASILIOS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018672

License Status

EXPIRED

Business

First Name

FATHY Z

Last Name

BASILIOS

Suffix

Business Name

FATHY Z BASILIOS MD

Original Issue Date

06/20/1985

Effective Date

06/20/1985

Expiration Date

07/01/1988

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013