FRANCISCO BASA DIONEDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

FRANCISCO BASA

Last Name

DIONEDA

Suffix

Business Name

FRANCISCO BASA DIONEDA MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1996

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/07/2011