MARTI BAZELL MD - Medical Doctor License in Illinois | # 125013203

MARTI BAZELL MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013203

License Status

EXPIRED

Business

N

First Name

MARTI

Last Name

BAZELL

Suffix

MD

Business Name

MARTI BAZELL MD

Original Issue Date

06/30/1981

Effective Date

06/30/1981

Expiration Date

07/01/1983

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006