MICHAEL DOUGLAS BAZZANI MD - Medical Doctor License in Tennessee | # 036118073

MICHAEL DOUGLAS BAZZANI MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118073

License Status

INACTIVE

Business

N

First Name

MICHAEL

Middle

DOUGLAS

Last Name

BAZZANI

Suffix

MD

Business Name

MICHAEL DOUGLAS BAZZANI MD

Original Issue Date

04/09/2007

Effective Date

06/23/2011

Expiration Date

07/31/2014

State

TN

Ever Disciplined

N

LastModifiedDate

04/08/2014