GASTON CARLOS BASLET MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105356

License Status

NOT RENEWED

Business

First Name

GASTON

Middle

CARLOS

Last Name

BASLET

Suffix

Business Name

GASTON CARLOS BASLET MD

Original Issue Date

08/03/2001

Effective Date

06/13/2011

Expiration Date

07/31/2014

City

JAMAICA PLAIN

State

Zip

02130

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

03/09/2021