STEPHEN ESTAL BASH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

STEPHEN ESTAL

Last Name

BASH

Suffix

Business Name

STEPHEN ESTAL BASH MD

Original Issue Date

08/01/1985

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023