RICHARD M BASALY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

Title

First Name

RICHARD

Middle

Last Name

BASALY

Business Name

RICHARD M BASALY MD

Original Issue Date

10/11/2016

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

EFFINGHAM

State

Zip

62401

County

VIRGINIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021