JOSEPH P BAST - Medical Doctor License in Illinois | # 036116846

JOSEPH P BAST

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116846

License Status

NOT RENEWED

Business

N

First Name

JOSEPH

Middle

P

Last Name

BAST

Business Name

JOSEPH P BAST

Original Issue Date

08/31/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2011