GRADY JUDSON BAZZEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

Title

First Name

GRADY

Middle

JUDSON

Last Name

BAZZEL

Business Name

GRADY JUDSON BAZZEL MD

Original Issue Date

04/11/2012

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

FRANKLIN

State

Zip

37067

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023