KEVIN L BASHAM
Medical Practice at Roseview Ct, Bridgeport, CT

License number
Florida 111483
Issued Date
Nov 8, 2011
Effective Date
Nov 8, 2011
Expiration Date
Jan 31, 2018
Category
Health Care
Type
Medical Doctor
Address
Address 2
30 Roseview Ct, Bridgeport, CT 06611
1 Forest Pkwy, Huntington, CT 06484
Phone
(203) 880-0990
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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