CATHERINE KREIDER BAST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144574

License Status

NOT RENEWED

Business

Title

First Name

CATHERINE

Middle

KREIDER

Last Name

BAST

Business Name

CATHERINE KREIDER BAST MD

Original Issue Date

10/27/2017

Effective Date

10/27/2017

Expiration Date

09/30/2020

City

ELKHART

State

Zip

46516

Ever Disciplined

LastModifiedDate

01/14/2021