JOHN BAZZI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

Title

DDS

First Name

JOHN

Last Name

BAZZI

Business Name

JOHN BAZZI DDS

Original Issue Date

07/23/2020

Effective Date

07/23/2020

Expiration Date

01/31/2022

City

NORTHVILLE

State

Zip

48168

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/09/2022