TAVINDER PAL BASRA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052410

License Status

EXPIRED

Business

First Name

TAVINDER

Middle

PAL

Last Name

BASRA

Suffix

Business Name

TAVINDER PAL BASRA MD

Original Issue Date

06/16/2010

Effective Date

06/16/2010

Expiration Date

06/30/2010

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/08/2010