MARY ELIZABETH COPELAND KOZAK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

Title

First Name

MARY

Middle

ELIZABETH

Last Name

COPELAND KOZAK

Business Name

MARY ELIZABETH COPELAND KOZAK DO

Original Issue Date

11/16/2023

Effective Date

11/16/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2025