MARY ELIZABETH COPELAND KOZAK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166884

License Status

ACTIVE

Business

Title

First Name

MARY

Middle

ELIZABETH

Last Name

COPELAND KOZAK

Business Name

MARY ELIZABETH COPELAND KOZAK DO

Original Issue Date

09/05/2023

Effective Date

09/05/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

06/19/2025