MICHAEL M BEZOUSKA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032535

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

Last Name

BEZOUSKA

Business Name

MICHAEL M BEZOUSKA

Original Issue Date

05/13/1995

Effective Date

05/13/1995

Expiration Date

06/20/1996

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006