BAHAR BASTANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083872

License Status

NOT RENEWED

Business

First Name

BAHAR

Last Name

BASTANI

Suffix

Business Name

BAHAR BASTANI MD

Original Issue Date

12/27/1991

Effective Date

12/27/1991

Expiration Date

07/31/2005

City

ST LOUIS

State

Zip

63110

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006