SANDY BASTA DDS - Dentist License in Illinois | # 019034738

SANDY BASTA DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034738

License Status

ACTIVE

Business

N

Title

DDS

First Name

SANDY

Last Name

BASTA

Business Name

SANDY BASTA DDS

Original Issue Date

12/15/2023

Effective Date

07/09/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

07/09/2024