FRANCISCO BASA DIONEDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

FRANCISCO BASA

Last Name

DIONEDA

Suffix

Business Name

FRANCISCO BASA DIONEDA MD

Original Issue Date

07/21/1995

Effective Date

07/21/1995

Expiration Date

07/31/1999

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011