BELLA BAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049391

License Status

NOT RENEWED

Business

First Name

BELLA

Last Name

BAZ

Suffix

Business Name

BELLA BAZ MD

Original Issue Date

08/28/1974

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

WENONA

State

Zip

61377

County

MARSHALL

Ever Disciplined

LastModifiedDate

01/14/2021