GREGORY JACOB BEZANIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

Title

First Name

GREGORY

Middle

JACOB

Last Name

BEZANIS

Business Name

GREGORY JACOB BEZANIS MD

Original Issue Date

06/07/2017

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

NEW LENOX

State

Zip

60451

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023