License Directory

Michael David Bastasch

Active

California 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

More from the license record

License type code
8002

Contact

1801 S Palestine St
Athens, TX 75751-5605
Dallas County