IMAD M AL-BASHA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

First Name

IMAD M

Last Name

AL-BASHA

Suffix

Business Name

IMAD M AL-BASHA MD

Original Issue Date

07/16/1990

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023