ZACHARY JOHN BASELLE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158603

License Status

ACTIVE

Business

Title

First Name

ZACHARY

Middle

JOHN

Last Name

BASELLE

Business Name

ZACHARY JOHN BASELLE DO

Original Issue Date

10/26/2021

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

DALLAS

State

Zip

75240

Ever Disciplined

LastModifiedDate

06/09/2023