REINALD J KOZIKOWSKI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

First Name

REINALD J

Last Name

KOZIKOWSKI

Suffix

Business Name

REINALD J KOZIKOWSKI MD

Original Issue Date

05/24/2022

Effective Date

07/16/2023

Expiration Date

07/31/2026

City

CHESTER

State

Zip

62233

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/16/2023