AHMAD BASTANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

First Name

AHMAD

Last Name

BASTANI

Suffix

Business Name

AHMAD BASTANI MD

Original Issue Date

06/28/1991

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60660

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023