TRACY HOFFMAN KOZIOL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

HOFFMAN

Last Name

KOZIOL

Suffix

Business Name

TRACY HOFFMAN KOZIOL MD

Original Issue Date

01/18/2008

Effective Date

07/15/2011

Expiration Date

07/31/2014

City

WESTCHESTER

State

Zip

60154

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020