DAVID BRADLEY KOZLOV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

DAVID

Middle

BRADLEY

Last Name

KOZLOV

Suffix

Business Name

DAVID BRADLEY KOZLOV MD

Original Issue Date

07/01/1999

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

BELVIDERE

State

Zip

61008

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023