KEITH M KOZENY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014609

License Status

EXPIRED

Business

First Name

KEITH M

Last Name

KOZENY

Suffix

Business Name

KEITH M KOZENY MD

Original Issue Date

06/30/1982

Effective Date

06/30/1982

Expiration Date

06/22/1984

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006