LORETTA ANNE BAUSTIAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101329

License Status

ACTIVE

Business

First Name

LORETTA

Middle

ANNE

Last Name

BAUSTIAN

Suffix

Business Name

LORETTA ANNE BAUSTIAN DO

Original Issue Date

09/24/1999

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

LORAINE

State

Zip

62349

County

ADAMS

Ever Disciplined

LastModifiedDate

07/08/2023