PETER KOZLOWSKI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061494

License Status

CANCELLED

Business

Title

First Name

PETER

Last Name

KOZLOWSKI

Business Name

PETER KOZLOWSKI MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

ELK GROVE VILLAGE

State

Zip

60007

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/09/2012