ANDREA BAZAN MD SC - Medical Corporation License in Illinois | # 042619109

ANDREA BAZAN MD SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042619109

License Status

NOT RENEWED

Business

Y

Business Name

ANDREA BAZAN MD SC

Original Issue Date

07/25/2007

Effective Date

08/03/2017

Expiration Date

01/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

04/10/2018