RACHEL ADE KOZICZKOWSKI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

Title

First Name

RACHEL

Middle

ADE

Last Name

KOZICZKOWSKI

Business Name

RACHEL ADE KOZICZKOWSKI MD

Original Issue Date

06/27/2016

Effective Date

10/11/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/10/2023