RODRIGO BASTIDAS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024431

License Status

EXPIRED

Business

First Name

RODRIGO

Last Name

BASTIDAS

Business Name

RODRIGO BASTIDAS

Original Issue Date

07/12/1989

Effective Date

07/12/1989

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006