License holder summary

BASTA, LAILA L, MD is a Medical - Physician licensed to practice in Georgia. The address on file for BASTA, LAILA L, MD is 3104 S ELM PLACE | SUITE L, BROKEN ARROW 74012. This doctor license is not current. The license was granted 08/17/1977 and expired on 12/31/1989.

Georgia

Composite Medical Board

BASTA, LAILA L, MD
Medical - Physician
License number
018782
Date granted
08/17/1977
Date expires
12/31/1989
Class
Medical - Physician
Status
Inactive
Address
3104 S ELM PLACE | SUITE L
georgiadoctors.net
ID 38027149
LAST UPDATED 2024-02-20 01:21:41 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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