MUGUREL VALENTIN BAZAVAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

Title

First Name

MUGUREL

Middle

VALENTIN

Last Name

BAZAVAN

Business Name

MUGUREL VALENTIN BAZAVAN MD

Original Issue Date

11/16/2011

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2023