NICHOLAS A KOZLOV MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071426

License Status

INACTIVE

Business

First Name

NICHOLAS A

Last Name

KOZLOV

Suffix

Business Name

NICHOLAS A KOZLOV MD

Original Issue Date

08/13/1985

Effective Date

08/13/1985

Expiration Date

07/31/1987

City

ST PETERSBURG

State

Zip

33701

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006