License holder summary

MICHAEL J. BASILE is a Board Of Medicine licensed to practice in Idaho. The address on file for MICHAEL J. BASILE is 3727 Heritage Road Roanoke VA 24015. This licensed professional license is not current. The license was granted 07/09/1972 and expired on 06/30/1989.

Idaho

Division of Occupational and Professional Licenses

MICHAEL J. BASILE
Board Of Medicine
License number
M-3066
Date granted
07/09/1972
Date expires
06/30/1989
Class
Board Of Medicine
Status
Canceled
Address
3727 Heritage Road Roanoke VA 24015
idaholicensing.com
ID 48337604
LAST UPDATED 2024-03-23 17:32:49 UTC

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