License holder summary

STANFORD M BASTACKY is a Dentist licensed to practice in Pennsylvania. The address on file for STANFORD M BASTACKY is ROCKVILLE MD 20852. This medical practitioner license is not current. The license was granted 05/12/1978 and expired on 03/31/2009.

Department of State

Board of Medicine

STANFORD M BASTACKY
Dentist
License number
DS020469L
Date granted
05/12/1978
Date expires
03/31/2009
Class
Dentist
Status
Inactive
Address
ROCKVILLE MD 20852
medicinepa.com
ID 37424993
LAST UPDATED 2021-09-05 12:27:42 UTC

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