PRIYA D BAZZANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

PRIYA

Middle

Last Name

BAZZANI

Suffix

Business Name

PRIYA D BAZZANI MD

Original Issue Date

10/25/2006

Effective Date

05/27/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011