KATHRYN M KOZAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

KATHRYN M

Last Name

KOZAK

Suffix

Business Name

KATHRYN M KOZAK MD

Original Issue Date

06/25/1990

Effective Date

05/19/2017

Expiration Date

09/30/2020

City

WINFIELD

State

Zip

60190

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021