HOLLY BASTIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151139

License Status

NOT RENEWED

Business

Title

First Name

HOLLY

Last Name

BASTIAN

Business Name

HOLLY BASTIAN MD

Original Issue Date

11/01/2019

Effective Date

11/01/2019

Expiration Date

09/30/2020

City

IRVING

State

Zip

75039

Ever Disciplined

LastModifiedDate

01/14/2021