RENU BAZAZ DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107631

License Status

NOT RENEWED

Business

First Name

RENU

Last Name

BAZAZ

Suffix

Business Name

RENU BAZAZ DO

Original Issue Date

08/07/2002

Effective Date

08/07/2002

Expiration Date

07/31/2005

City

OGDENSBURG

State

Zip

13669

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006