GREGORY JACOB BEZANIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037902

License Status

EXPIRED

Business

Title

First Name

GREGORY

Middle

JACOB

Last Name

BEZANIS

Business Name

GREGORY JACOB BEZANIS MD

Original Issue Date

06/27/1998

Effective Date

06/27/1998

Expiration Date

06/26/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006