SATISH BASTOLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081774

License Status

ACTIVE

Business

Title

First Name

SATISH

Last Name

BASTOLA

Business Name

SATISH BASTOLA MD

Original Issue Date

06/19/2023

Effective Date

06/19/2023

Expiration Date

06/18/2026

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/12/2023