GREGORY JACOB BEZANIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

Title

First Name

GREGORY

Middle

JACOB

Last Name

BEZANIS

Business Name

GREGORY JACOB BEZANIS MD

Original Issue Date

04/18/2002

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

CREST HILL

State

Zip

60403

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023