KRISTI LYN KOZLOV MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033257

License Status

EXPIRED

Business

First Name

KRISTI

Middle

LYN

Last Name

KOZLOV

Suffix

Business Name

KRISTI LYN KOZLOV MD

Original Issue Date

06/10/1995

Effective Date

06/10/1995

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006