MICHAEL M BEZOUSKA - Medical Doctor License in Illinois | # 125032535

MICHAEL M BEZOUSKA

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032535

License Status

EXPIRED

Business

N

First Name

MICHAEL

Middle

M

Last Name

BEZOUSKA

Business Name

MICHAEL M BEZOUSKA

Original Issue Date

05/13/1995

Effective Date

05/13/1995

Expiration Date

06/20/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/22/2006