JOSEPH P BAST Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116846

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

Last Name

BAST

Business Name

JOSEPH P BAST

Original Issue Date

08/31/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/14/2011