BAHAR BASTANI MD - Medical Doctor License in Missouri | # 036083872

BAHAR BASTANI MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083872

License Status

NOT RENEWED

Business

N

First Name

BAHAR

Last Name

BASTANI

Suffix

MD

Business Name

BAHAR BASTANI MD

Original Issue Date

12/27/1991

Effective Date

12/27/1991

Expiration Date

07/31/2005

State

MO

Ever Disciplined

N

LastModifiedDate

10/09/2006