REZA BASHTAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150414

License Status

ACTIVE

Business

Title

First Name

REZA

Last Name

BASHTAR

Business Name

REZA BASHTAR MD

Original Issue Date

08/05/2019

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

05/12/2023