FAKHRUDDIN HASTA - Medical Doctor License in California | # 036083395

FAKHRUDDIN HASTA

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083395

License Status

INACTIVE

Business

N

First Name

FAKHRUDDIN

Last Name

HASTA

Business Name

FAKHRUDDIN HASTA

Original Issue Date

08/29/1991

Effective Date

08/29/1991

Expiration Date

07/31/1996

State

CA

Ever Disciplined

N

LastModifiedDate

09/20/2006