PHILIP M KOSZYK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074677

License Status

NOT RENEWED

Business

First Name

PHILIP M

Last Name

KOSZYK

Suffix

Business Name

PHILIP M KOSZYK MD

Original Issue Date

03/18/1987

Effective Date

09/03/2020

Expiration Date

07/31/2023

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/30/2023