PRAVESH M S BASNET MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

Title

First Name

PRAVESH

Middle

M S

Last Name

BASNET

Business Name

PRAVESH M S BASNET MD

Original Issue Date

05/06/2014

Effective Date

06/12/2020

Expiration Date

07/31/2023

City

JACKSONVILLE

State

Zip

62650

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023