MARIUSZ TOMASZ KOZIOL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045013

License Status

EXPIRED

Business

First Name

MARIUSZ

Middle

TOMASZ

Last Name

KOZIOL

Suffix

Business Name

MARIUSZ TOMASZ KOZIOL MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

City

SCHAUMBURG

State

Zip

60173

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006