JAMES F BASTIAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030966

License Status

EXPIRED

Business

First Name

JAMES F

Last Name

BASTIAN

Business Name

JAMES F BASTIAN

Original Issue Date

05/04/1994

Effective Date

05/04/1994

Expiration Date

06/19/1997

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006