BASSEL KAZKAZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

First Name

BASSEL

Last Name

KAZKAZ

Suffix

Business Name

BASSEL KAZKAZ MD

Original Issue Date

08/18/1997

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

NEW LENOX

State

Zip

60451

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023