BASIT BOB ALI DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110589

License Status

INACTIVE

Business

First Name

BASIT

Middle

BOB

Last Name

ALI

Suffix

Business Name

BASIT BOB ALI DO

Original Issue Date

12/15/2003

Effective Date

12/15/2003

Expiration Date

07/31/2005

City

FORT WORTH

State

Zip

76116

County

TEXAS

Ever Disciplined

LastModifiedDate

10/09/2006