ROBERT S BASKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072175

License Status

NOT RENEWED

Business

First Name

ROBERT S

Last Name

BASKA

Suffix

Business Name

ROBERT S BASKA MD

Original Issue Date

12/23/1985

Effective Date

12/23/1985

Expiration Date

07/31/2002

City

MORRISVILLE

State

Zip

05661

County

VERMONT

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

2003005785

Action

Suspension

Discipline Start Date

04/16/2004