DJAMEL BOUAZZA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101890

License Status

NOT RENEWED

Business

First Name

DJAMEL

Last Name

BOUAZZA

Suffix

Business Name

DJAMEL BOUAZZA MD

Original Issue Date

02/01/2000

Effective Date

02/01/2000

Expiration Date

07/31/2005

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

12/17/2007