LISA M KOZINSKI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112489

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

KOZINSKI

Business Name

LISA M KOZINSKI

Original Issue Date

10/07/2004

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2023