HASEEB ILIAS BASHA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

Title

First Name

HASEEB

Last Name

ILIAS BASHA

Business Name

HASEEB ILIAS BASHA MD

Original Issue Date

07/27/2017

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/20/2023