LEONELA BASTIDAS MD - Medical Doctor License in Illinois | # 125085262

LEONELA BASTIDAS MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085262

License Status

ACTIVE

Business

N

Title

MD

First Name

LEONELA

Last Name

BASTIDAS

Business Name

LEONELA BASTIDAS MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

State

IL

Specialty/Qualifier

Cardiovascular Disease

Ever Disciplined

N

LastModifiedDate

04/21/2025