MARIUSZ TOMASZ KOZIOL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

MARIUSZ

Middle

TOMASZ

Last Name

KOZIOL

Suffix

Business Name

MARIUSZ TOMASZ KOZIOL MD

Original Issue Date

07/17/2007

Effective Date

07/17/2007

Expiration Date

07/31/2008

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020