WILLIAM L MIZE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

CANCELLED

Business

First Name

WILLIAM

Middle

Last Name

MIZE

Suffix

Business Name

WILLIAM L MIZE MD

Original Issue Date

10/26/1998

Effective Date

10/26/1998

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006