LISA M KOZINSKI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044406

License Status

EXPIRED

Business

First Name

LISA

Middle

Last Name

KOZINSKI

Business Name

LISA M KOZINSKI

Original Issue Date

06/13/2002

Effective Date

06/13/2002

Expiration Date

06/12/2005

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006