IVA BAZANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054262

License Status

NOT RENEWED

Business

Title

First Name

IVA

Last Name

BAZANT

Business Name

IVA BAZANT MD

Original Issue Date

03/11/1977

Effective Date

08/01/2017

Expiration Date

09/30/2020

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021