ROBERT W BASTIAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059793

License Status

ACTIVE

Business

First Name

ROBERT W

Last Name

BASTIAN

Suffix

Business Name

ROBERT W BASTIAN MD

Original Issue Date

11/28/1979

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/13/2023