License holder summary

KENNETH TYRONE BASTIN is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for KENNETH TYRONE BASTIN is MILWAUKEE WI 53215. This medical practitioner license is not current. The license was granted 05/26/1993 and expired on 12/31/1998.

Department of State

Board of Medicine

KENNETH TYRONE BASTIN
Medical Physician And Surgeon
License number
MD049929L
Date granted
05/26/1993
Date expires
12/31/1998
Class
Medical Physician And Surgeon
Status
Inactive
Address
MILWAUKEE WI 53215
medicinepa.com
ID 37588956
LAST UPDATED 2024-03-18 11:20:24 UTC

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