FAKHRUDDIN HASTA Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083395

License Status

INACTIVE

Business

First Name

FAKHRUDDIN

Last Name

HASTA

Business Name

FAKHRUDDIN HASTA

Original Issue Date

08/29/1991

Effective Date

08/29/1991

Expiration Date

07/31/1996

City

BAKERSFIELD

State

Zip

93309

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006