JOHN E BASICH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052946

License Status

INACTIVE

Business

First Name

JOHN E

Last Name

BASICH

Suffix

Business Name

JOHN E BASICH MD

Original Issue Date

07/15/1976

Effective Date

07/15/1976

Expiration Date

07/31/1987

City

HALES CORNERS

State

Zip

53130

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006