AHSAN M BASHA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

AHSAN M

Last Name

BASHA

Suffix

Business Name

AHSAN M BASHA MD

Original Issue Date

10/02/1996

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023