AMENAH BASITH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011310

License Status

ACTIVE

Business

First Name

AMENAH

Last Name

BASITH

Business Name

AMENAH BASITH

Original Issue Date

06/27/2025

Effective Date

03/05/2026

Expiration Date

03/01/2028

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/05/2026