IVA BAZANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

Title

First Name

IVA

Last Name

BAZANT

Business Name

IVA BAZANT MD

Original Issue Date

01/01/1997

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020