WILLIAM EDWARD MIZIKAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

WILLIAM

Middle

EDWARD

Last Name

MIZIKAR

Business Name

WILLIAM EDWARD MIZIKAR MD

Original Issue Date

04/06/2020

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023