TRACY HOFFMAN KOZIOL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049182

License Status

EXPIRED

Business

First Name

TRACY

Middle

HOFFMAN

Last Name

KOZIOL

Suffix

Business Name

TRACY HOFFMAN KOZIOL MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/31/2008