JEFFREY C KOSZCZUK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083550

License Status

NOT RENEWED

Business

First Name

JEFFREY C

Last Name

KOSZCZUK

Suffix

Business Name

JEFFREY C KOSZCZUK DO

Original Issue Date

09/27/1991

Effective Date

09/27/1991

Expiration Date

07/31/2005

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/09/2006