SARAH ALISON BASAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000418

License Status

EXPIRED

Business

First Name

SARAH

Middle

ALISON

Last Name

BASAK

Suffix

Business Name

SARAH ALISON BASAK MD

Original Issue Date

08/01/2011

Effective Date

08/01/2011

Expiration Date

01/31/2012

City

GLEN CARBON

State

Zip

62034

County

MADISON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/01/2012