Susan Jacklyn Kies Bazzell

Medical - Physician And Surgeon

Minnesota  44822   Active

This Minnesota license is held by Susan Jacklyn Kies Bazzell. The license is currently active. It was granted on 07/13/2002 and expired on 08/31/2007

LICENSE DETAILS

  • License Number: 44822
  • Category: Physician and Surgeon
  • Status: Active
  • Date Granted: 07/13/2002 (almost 23 years ago)
  • Expiry Date: 08/31/2007 (over 17 years ago)

LOCATIONS

A Licensure Designated Address

Old Pueblo Anesthesia, 5700 Pima Rd, Tucson, AZ 85712