JAMES F BASTIAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

JAMES F

Last Name

BASTIAN

Business Name

JAMES F BASTIAN

Original Issue Date

10/01/1997

Effective Date

10/01/1997

Expiration Date

07/31/1999

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006