INDU SHEILA BASIL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046814

License Status

CANCELLED

Business

First Name

INDU

Middle

SHEILA

Last Name

BASIL

Suffix

Business Name

INDU SHEILA BASIL MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006