MUGUREL VALENTIN BAZAVAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056600

License Status

CANCELLED

Business

Title

First Name

MUGUREL

Middle

VALENTIN

Last Name

BAZAVAN

Business Name

MUGUREL VALENTIN BAZAVAN MD

Original Issue Date

06/27/2009

Effective Date

06/27/2009

Expiration Date

06/26/2012

City

LAKE FOREST

State

Zip

60045

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/06/2009