BAZAL EHSAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156383

License Status

ACTIVE

Business

Title

First Name

BAZAL

Last Name

EHSAN

Business Name

BAZAL EHSAN MD

Original Issue Date

04/01/2021

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

04/20/2023