Andrea M Bazan
ActiveIllinois license 33*****03
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 33*****03
- Status
- Active
- First issued
- July 10, 1997
- Expires
- July 31, 2029
- License holder
- Andrea M Bazan
- Entity type
- Individual
Classifications
- Licensed Physician Controlled Substance (Medical Board) Physicians & Surgeons
More from the license record
- Controlled substance schedules
- II III IV V
- Current term began
- 05/19/2026
Other Illinois licenses under this name
-
IL
ActivePark Ridge, ILExpires Jul 31, 2029
-
IL
ExpiredChicago, ILExpired Jun 30, 1997
Contact
Park Ridge, IL 60068
Cook County