MALIK M NASIR BAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

MALIK M NASIR

Last Name

BAZ

Suffix

Business Name

MALIK M NASIR BAZ MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

AURORA

State

Zip

60507

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006