ANDREW NICHOLAS KOZLOV MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064936

License Status

EXPIRED

Business

Title

First Name

ANDREW

Middle

NICHOLAS

Last Name

KOZLOV

Business Name

ANDREW NICHOLAS KOZLOV MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2015

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

09/04/2015