AHMAD BASTANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082214

License Status

ACTIVE

Business

First Name

AHMAD

Last Name

BASTANI

Suffix

Business Name

AHMAD BASTANI MD

Original Issue Date

03/22/1991

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

07/14/2023