DAVID BRADLEY KOZLOV MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028075

License Status

EXPIRED

Business

First Name

DAVID

Middle

BRADLEY

Last Name

KOZLOV

Suffix

Business Name

DAVID BRADLEY KOZLOV MD

Original Issue Date

05/14/1992

Effective Date

05/14/1992

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006