Michael David Bastasch
ActiveCalifornia license A85084
License
- Licensed by
- Medical Board of California
- License number
- A85084
- Status
- Active (Current)
- First issued
- November 5, 2003
- Expires
- September 30, 2027
- License holder
- Michael David Bastasch
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
1801 S Palestine St
Athens, TX 75751-5605
Athens, TX 75751-5605
Dallas County