SAMUEL T BAZ MD - Medical Doctor License in Illinois | # 036049392

SAMUEL T BAZ MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049392

License Status

INACTIVE

Business

N

First Name

SAMUEL T

Last Name

BAZ

Suffix

MD

Business Name

SAMUEL T BAZ MD

Original Issue Date

08/28/1974

Effective Date

04/22/2014

Expiration Date

07/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

04/11/2017