JOHN A KAZIANIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Middle

Last Name

KAZIANIS

Business Name

JOHN A KAZIANIS MD

Original Issue Date

02/09/2015

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

CENTRALIA

State

Zip

62801

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021