ROMAN O KOZYCKYJ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

First Name

ROMAN

Middle

Last Name

KOZYCKYJ

Suffix

Business Name

ROMAN O KOZYCKYJ MD

Original Issue Date

08/24/1982

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023