SANGITA BASNET Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

SANGITA

Last Name

BASNET

Business Name

SANGITA BASNET

Original Issue Date

05/24/2005

Effective Date

05/24/2005

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020