License Directory

Wiener Bastien Md

Expired

Illinois 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

More from the license record

Current term began
12/16/1977

Other Illinois licenses under this name

  • IL
    Wiener Bastien Md
    License 33*****43
    Licensed Physician Controlled Substance (Medical Board)
    Expired
    East St Louis, IL
    Expired Sep 1, 1982

Contact

East St Louis, IL 62205
Saint Clair County