MICHAEL DOUGLAS BAZZANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DOUGLAS

Last Name

BAZZANI

Suffix

Business Name

MICHAEL DOUGLAS BAZZANI MD

Original Issue Date

01/18/2008

Effective Date

07/21/2011

Expiration Date

07/31/2014

City

GALLATIN

State

Zip

37066

County

TENNESSEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014