MICHAEL DOUGLAS BAZZANI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118073

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

DOUGLAS

Last Name

BAZZANI

Suffix

Business Name

MICHAEL DOUGLAS BAZZANI MD

Original Issue Date

04/09/2007

Effective Date

06/23/2011

Expiration Date

07/31/2014

City

GALLATIN

State

Zip

37066

County

TENNESSEE

Ever Disciplined

LastModifiedDate

04/08/2014