BASANT FARGHALY MD
Temporary Medical Permit
Illinois 125048640 Expired
This Illinois license was held by BASANT FARGHALY MD. The license is no longer active. It was granted on 06/28/2004 and expired on 06/27/2007
LICENSE DETAILS
- License Number: 125048640
- Category: TEMPORARY MEDICAL PERMIT
- Status: Expired
- Date Granted: 06/28/2004 (almost 21 years ago)
- Expiry Date: 06/27/2007 (almost 18 years ago)
LOCATIONS
A Address
saint augustine, FL 32092