RENU BAZAZ DO
Licensed Physician Controlled Substance
Illinois 336068722 Not Renewed
This Illinois license was held by RENU BAZAZ DO. The license is no longer active. It was granted on 10/07/2002 and expired on 07/31/2005
LICENSE DETAILS
- License Number: 336068722
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
- Status: Not Renewed
- Date Granted: 10/07/2002 (over 21 years ago)
- Expiry Date: 07/31/2005 (over 18 years ago)
LOCATIONS
A Address
OGDENSBURG, NY 13669