License holder summary

MICHAEL J BASISTA is a Nursing - Dentist licensed to practice in Florida. The address on file for MICHAEL J BASISTA is 2454 WINKLER AVE FORT MYERS, FL 33901-9266. This nurse license is current. The license was granted 08/01/1975 and expired on 02/28/2016.

Secretary of State

Board of Nursing

MICHAEL J BASISTA
Nursing - Dentist
License number
DN6721
Date granted
08/01/1975
Date expires
02/28/2016
Class
Nursing - Dentist
Status
Active
Address
2454 WINKLER AVE FORT MYERS, FL 33901-9266
nursingflorida.org
ID 31854085
LAST UPDATED 2024-04-24 18:45:15 UTC

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