GREGORY M BAZELL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

INACTIVE

Business

First Name

GREGORY

Middle

Last Name

BAZELL

Suffix

Business Name

GREGORY M BAZELL MD

Original Issue Date

03/15/2021

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

SCHAUMBURG

State

Zip

60173

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/09/2026