BASIL A ALI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067466

License Status

CANCELLED

Business

Title

First Name

BASIL

Middle

Last Name

ALI

Business Name

BASIL A ALI MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/09/2015