SARAH H BASTAWROUS DO - Medical Doctor License in Illinois | # 125045913

SARAH H BASTAWROUS DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045913

License Status

EXPIRED

Business

N

First Name

SARAH

Middle

H

Last Name

BASTAWROUS

Suffix

DO

Business Name

SARAH H BASTAWROUS DO

Original Issue Date

06/19/2003

Effective Date

06/19/2003

Expiration Date

06/30/2006

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

09/22/2006