JUDITH A BAST DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038006053

License Status

NOT RENEWED

Business

First Name

JUDITH A

Last Name

BAST

Suffix

Business Name

JUDITH A BAST DC

Original Issue Date

09/11/1987

Effective Date

09/11/1987

Expiration Date

07/31/1990

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

09/21/2006