SATISH BASTOLA MD - Medical Doctor License in Illinois | # 125081774

SATISH BASTOLA MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081774

License Status

ACTIVE

Business

N

Title

MD

First Name

SATISH

Last Name

BASTOLA

Business Name

SATISH BASTOLA MD

Original Issue Date

06/19/2023

Effective Date

06/19/2023

Expiration Date

06/18/2026

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

05/12/2023