ANTOAN S BASMAJI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077195

License Status

EXPIRED

Business

Title

First Name

ANTOAN

Middle

Last Name

BASMAJI

Business Name

ANTOAN S BASMAJI MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neuroradiology

Ever Disciplined

LastModifiedDate

10/11/2022