KRISTI LYN KOZLOV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

First Name

KRISTI

Middle

LYN

Last Name

KOZLOV

Suffix

Business Name

KRISTI LYN KOZLOV MD

Original Issue Date

04/12/2001

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

WEST DUNDEE

State

Zip

60118

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023