GREGORY NICHOLAS KOZLOV DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127771

License Status

INACTIVE

Business

First Name

GREGORY

Middle

NICHOLAS

Last Name

KOZLOV

Suffix

Business Name

GREGORY NICHOLAS KOZLOV DO

Original Issue Date

05/04/2011

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

SAINT PETERSBURG

State

Zip

33704

County

FLORIDA

Ever Disciplined

LastModifiedDate

04/12/2017