LISA M KOZINSKI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

KOZINSKI

Business Name

LISA M KOZINSKI

Original Issue Date

08/10/2005

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60644

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2023