AMIRA AL-BASHA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****32

License Status

ACTIVE

Business

First Name

AMIRA

Last Name

AL-BASHA

Business Name

AMIRA AL-BASHA

Original Issue Date

08/26/2019

Effective Date

01/06/2026

Expiration Date

03/01/2028

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/06/2026