KATHRYN M KOZAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019953

License Status

EXPIRED

Business

First Name

KATHRYN M

Last Name

KOZAK

Suffix

Business Name

KATHRYN M KOZAK MD

Original Issue Date

06/30/1986

Effective Date

06/30/1986

Expiration Date

06/22/1989

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006