BASEMA ISMAIL DIBAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144300

License Status

NOT RENEWED

Business

Title

First Name

BASEMA

Middle

ISMAIL

Last Name

DIBAS

Business Name

BASEMA ISMAIL DIBAS MD

Original Issue Date

09/11/2017

Effective Date

09/30/2020

Expiration Date

07/31/2023

City

DANVILLE

State

Zip

17821

Ever Disciplined

LastModifiedDate

11/30/2023