Thomas L Bastian
InactiveIllinois license 041222673
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041222673
- Status
- Inactive
- First issued
- May 14, 1984
- Expired
- May 31, 1996
- License holder
- Thomas L Bastian
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 05/14/1984
Contact
New Baden, IL 62265
Clinton County