License holder summary

WILLIAM B ETIZ is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for WILLIAM B ETIZ is ST JOSEPH COMMUNITY HOSPITAL, 215 WEST 4TH STREET, Mishawaka IN 46544. This licensed professional license is not current. The license was granted 07/17/1995 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

WILLIAM B ETIZ
Controlled Substance Registration-Osteopathic Physician
License number
02001652B
Date granted
07/17/1995
Date expires
06/30/2005
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
ST JOSEPH COMMUNITY HOSPITAL, 215 WEST 4TH STREET, Mishawaka IN 46544
indianalicensing.org
ID 5809258
LAST UPDATED 2024-04-30 17:30:21 UTC

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