MARIA I AL-BASHA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

First Name

MARIA I

Last Name

AL-BASHA

Suffix

Business Name

MARIA I AL-BASHA MD

Original Issue Date

11/02/1989

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023