MIR ABDUL BASIR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105659

License Status

NOT RENEWED

Business

First Name

MIR

Middle

ABDUL

Last Name

BASIR

Suffix

Business Name

MIR ABDUL BASIR MD

Original Issue Date

10/01/2001

Effective Date

07/29/2014

Expiration Date

07/31/2017

City

BROOKFIELD

State

Zip

53045

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017