PRIYA D BAZZANI MD - Medical Doctor License in Illinois | # 125044123

PRIYA D BAZZANI MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044123

License Status

EXPIRED

Business

N

First Name

PRIYA

Middle

D

Last Name

BAZZANI

Suffix

MD

Business Name

PRIYA D BAZZANI MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2007

State

IL

Specialty/Qualifier

Nephrology

Ever Disciplined

N

LastModifiedDate

07/03/2007