DAVID BRADLEY KOZLOV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100483

License Status

ACTIVE

Business

First Name

DAVID

Middle

BRADLEY

Last Name

KOZLOV

Suffix

Business Name

DAVID BRADLEY KOZLOV MD

Original Issue Date

06/30/1999

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

BELVIDERE

State

Zip

61008

County

LAKE

Ever Disciplined

LastModifiedDate

04/13/2023