JOHN ALVIN BAZLEY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124586

License Status

ACTIVE

Business

First Name

JOHN

Middle

ALVIN

Last Name

BAZLEY

Business Name

JOHN ALVIN BAZLEY

Original Issue Date

11/04/2009

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

MONROE

State

Zip

53566

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/01/2023