AMIR BASTAWROUS MD - Medical Doctor License in Illinois | # 125028053

AMIR BASTAWROUS MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028053

License Status

EXPIRED

Business

N

First Name

AMIR

Last Name

BASTAWROUS

Suffix

MD

Business Name

AMIR BASTAWROUS MD

Original Issue Date

05/13/1992

Effective Date

05/13/1992

Expiration Date

06/23/1995

State

IL

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006