License holder summary

John Alvin Bazley is a Physician licensed to practice in Indiana. The address on file for John Alvin Bazley is Monroe WI 53566. This licensed professional license is current. The license was granted 11/02/2009 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

John Alvin Bazley
Physician
License number
01067455A
Date granted
11/02/2009
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Monroe WI 53566
indianalicensing.org
ID 6079673
LAST UPDATED 2024-03-24 05:16:01 UTC

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