PRIYA D BAZZANI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044123

License Status

EXPIRED

Business

First Name

PRIYA

Middle

Last Name

BAZZANI

Suffix

Business Name

PRIYA D BAZZANI MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Nephrology

Ever Disciplined

LastModifiedDate

07/03/2007