MIR ABDUL BASIR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

MIR

Middle

ABDUL

Last Name

BASIR

Suffix

Business Name

MIR ABDUL BASIR MD

Original Issue Date

12/01/2005

Effective Date

05/27/2008

Expiration Date

07/31/2011

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017