GREGORY FRANK KOZIELEC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

FRANK

Last Name

KOZIELEC

Suffix

Business Name

GREGORY FRANK KOZIELEC MD

Original Issue Date

07/10/1998

Effective Date

07/10/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020