ROBERT W BASTIAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

First Name

ROBERT W

Last Name

BASTIAN

Suffix

Business Name

ROBERT W BASTIAN MD

Original Issue Date

01/01/1997

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023