JOHN ALVIN BAZLEY - Medical Doctor License in Wisconsin | # 036124586

JOHN ALVIN BAZLEY

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124586

License Status

ACTIVE

Business

N

First Name

JOHN

Middle

ALVIN

Last Name

BAZLEY

Business Name

JOHN ALVIN BAZLEY

Original Issue Date

11/04/2009

Effective Date

08/01/2023

Expiration Date

07/31/2026

State

WI

Ever Disciplined

N

LastModifiedDate

08/01/2023