GRADY JUDSON BAZZEL MD - Medical Doctor License in Tennessee | # 33*****49

GRADY JUDSON BAZZEL MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

N

Title

MD

First Name

GRADY

Middle

JUDSON

Last Name

BAZZEL

Business Name

GRADY JUDSON BAZZEL MD

Original Issue Date

04/11/2012

Effective Date

07/13/2023

Expiration Date

07/31/2026

State

TN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

07/13/2023