LORA KOSIVZOFF DPM - Podiatrist License in Illinois | # 016004167

LORA KOSIVZOFF DPM

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004167

License Status

ACTIVE

Business

N

First Name

LORA

Last Name

KOSIVZOFF

Suffix

DPM

Business Name

LORA KOSIVZOFF DPM

Original Issue Date

08/15/1987

Effective Date

01/30/2025

Expiration Date

01/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

02/26/2025