License holder summary

JENNIFER BASISTA is a Medical Board - 33.Lmt A B Group licensed to practice in Ohio. The address on file for JENNIFER BASISTA is Wickliffe, OH 44092. This licensed professional license is not current. The license was granted 07/14/2000 and expired on 07/01/2011.

Ohio

Board of Licensing

JENNIFER BASISTA
Medical Board - 33.Lmt A B Group
License number
33.009472-A-B
Date granted
07/14/2000
Date expires
07/01/2011
Class
Medical Board - 33.Lmt A B Group
Status
Inactive
Address
Wickliffe, OH 44092
ohiolicensing.org
ID 28451751
LAST UPDATED 2026-04-08 11:35:56 UTC

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