CHARLES HAROLD BAZUIN MD - Medical Doctor License in Illinois | # 036049126

CHARLES HAROLD BAZUIN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049126

License Status

NOT RENEWED

Business

N

First Name

CHARLES HAROLD

Last Name

BAZUIN

Suffix

MD

Business Name

CHARLES HAROLD BAZUIN MD

Original Issue Date

05/04/1974

Effective Date

05/04/1974

Expiration Date

07/31/1987

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006