WILLIAM EDWARD MIZIKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

Title

First Name

WILLIAM

Middle

EDWARD

Last Name

MIZIKAR

Business Name

WILLIAM EDWARD MIZIKAR MD

Original Issue Date

09/14/2020

Effective Date

09/14/2020

Expiration Date

07/31/2023

City

QUINCY

State

Zip

62301

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023