DAVID EZRIEL KATZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

EZRIEL

Last Name

KATZ

Business Name

DAVID EZRIEL KATZ MD

Original Issue Date

11/12/2019

Effective Date

09/17/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61636

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023