Wiener Bastien Md
ExpiredIllinois license 036056142
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 036056142
- Status
- Expired (Not Renewed)
- First issued
- December 16, 1977
- Expired
- July 31, 1984
- License holder
- Wiener Bastien Md
- Entity type
- Individual
Classifications
- Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons
More from the license record
- Current term began
- 12/16/1977
Other Illinois licenses under this name
-
IL
ExpiredEast St Louis, ILExpired Sep 1, 1982
Contact
East St Louis, IL 62205
Saint Clair County