License holder summary

Jonathan William Bazeley is a Temporary Medical Doctor Permit licensed to practice in Indiana. The address on file for Jonathan William Bazeley is Indianapolis IN 46202. This licensed professional license is not current. The license was granted 08/09/2011 and expired on 11/09/2011.

Indiana

Professional Licensing Agency

Jonathan William Bazeley
Temporary Medical Doctor Permit
License number
99048168A
Date granted
08/09/2011
Date expires
11/09/2011
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Indianapolis IN 46202
indianalicensing.org
ID 6133242
LAST UPDATED 2024-03-22 03:32:37 UTC

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