OLGA GENIYEVNA KOZLOVA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

Title

First Name

OLGA

Middle

GENIYEVNA

Last Name

KOZLOVA

Business Name

OLGA GENIYEVNA KOZLOVA MD

Original Issue Date

09/03/2013

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60025

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023