KEVIN W BASZIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147841

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

Last Name

BASZIS

Business Name

KEVIN W BASZIS MD

Original Issue Date

12/07/2018

Effective Date

06/19/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

06/19/2023