BASEM KHISHFE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057482

License Status

CANCELLED

Business

Title

First Name

BASEM

Last Name

KHISHFE

Business Name

BASEM KHISHFE MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

SAINT LOUIS

State

Zip

63110

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/24/2014