ANDREA M BAZAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095548

License Status

ACTIVE

Business

First Name

ANDREA M

Last Name

BAZAN

Business Name

ANDREA M BAZAN

Original Issue Date

05/30/1997

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

04/22/2023