Idaho
Division of Occupational and Professional Licenses
LESLIE T. BASTIAN
Board Of Medicine
License number
AT-144
Date granted
12/29/1997
Date expires
07/02/1998
Class
Board Of Medicine
Status
Canceled
Address
45 N 400 E Lindon UT 84042
idaholicensing.com
ID 48336848
LAST UPDATED 2024-02-13 19:37:25 UTC
LAST UPDATED 2024-02-13 19:37:25 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.