SANDEEP K BASANTI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000538

License Status

EXPIRED

Business

First Name

SANDEEP

Middle

Last Name

BASANTI

Business Name

SANDEEP K BASANTI

Original Issue Date

03/01/2013

Effective Date

03/01/2013

Expiration Date

08/31/2013

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/07/2013