ROBERT J KOZIOL JR DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

KOZIOL

Suffix

JR DO

Business Name

ROBERT J KOZIOL JR DO

Original Issue Date

08/23/1988

Effective Date

08/23/1988

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020