ANASTASIA RODA NAST MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163141

License Status

ACTIVE

Business

Title

First Name

ANASTASIA

Middle

RODA

Last Name

NAST

Business Name

ANASTASIA RODA NAST MD

Original Issue Date

12/10/2022

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

06/12/2024