ROBERT JAN BAZAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017925

License Status

NOT RENEWED

Business

Title

DDS

First Name

ROBERT

Middle

JAN

Last Name

BAZAN

Business Name

ROBERT JAN BAZAN DDS

Original Issue Date

10/14/1981

Effective Date

12/21/2015

Expiration Date

09/30/2018

City

HANOVER PARK

State

Zip

60133

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018