License holder summary

Dr. JACK BROADWATER BASIL is a Medical Board - 35.Doctor Of Medicine licensed to practice in Ohio. The address on file for Dr. JACK BROADWATER BASIL is Good Samaritan Hospital, 3219 Clifton Avenue Suite 100, Cincinnati, OH 45220. This doctor license is current. The license was granted 03/12/2004 and expired on 07/01/2017.

Ohio

State Medical Board of Ohio

Dr. JACK BROADWATER BASIL
Medical Board - 35.Doctor Of Medicine
License number
35.084002
Date granted
03/12/2004
Date expires
07/01/2017
Class
Medical Board - 35.Doctor Of Medicine
Status
Active
Address
Good Samaritan Hospital, 3219 Clifton Avenue Suite 100, Cincinnati, OH 45220
doctorsohio.org
ID 28446110
LAST UPDATED 2026-04-27 19:13:10 UTC

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

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