MALIK M NASIR BAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060795

License Status

NOT RENEWED

Business

First Name

MALIK M NASIR

Last Name

BAZ

Suffix

Business Name

MALIK M NASIR BAZ MD

Original Issue Date

08/26/1980

Effective Date

08/26/1980

Expiration Date

07/01/1982

City

MILWAUKEE

State

Zip

53211

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006