License holder summary

BASSEL KAZKAZ is a Physician licensed to practice in Indiana. The address on file for BASSEL KAZKAZ is Madison WI 53705. This licensed professional license is not current. The license was granted 10/22/1998 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

BASSEL KAZKAZ
Physician
License number
01049664A
Date granted
10/22/1998
Date expires
06/30/2003
Class
Physician
Status
Expired Non-Renewable
Address
Madison WI 53705
indianalicensing.org
ID 6073302
LAST UPDATED 2024-04-03 09:26:01 UTC

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