ROMAN O KOZYCKYJ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063880

License Status

ACTIVE

Business

First Name

ROMAN

Middle

Last Name

KOZYCKYJ

Suffix

Business Name

ROMAN O KOZYCKYJ MD

Original Issue Date

02/10/1982

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

06/23/2023