MARIUSZ TOMASZ KOZIOL 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

MARIUSZ

Middle

TOMASZ

Last Name

KOZIOL

Suffix

Business Name

MARIUSZ TOMASZ KOZIOL MD

Original Issue Date

12/11/2007

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023