AHMAD BASTANI MD - Medical Doctor License in Illinois | # 125022539

AHMAD BASTANI MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022539

License Status

EXPIRED

Business

N

First Name

AHMAD

Last Name

BASTANI

Suffix

MD

Business Name

AHMAD BASTANI MD

Original Issue Date

05/27/1988

Effective Date

05/27/1988

Expiration Date

07/01/1991

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006