ABDUL BASIT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046975

License Status

CANCELLED

Business

First Name

ABDUL

Last Name

BASIT

Suffix

Business Name

ABDUL BASIT MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2004

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Infectious Disease

Ever Disciplined

LastModifiedDate

09/22/2006