JOSHUA DALE HASTIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

Title

First Name

JOSHUA

Middle

DALE

Last Name

HASTIE

Business Name

JOSHUA DALE HASTIE MD

Original Issue Date

08/13/2014

Effective Date

08/13/2014

Expiration Date

07/31/2017

City

ELDORADO

State

Zip

62930

County

SALINE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020