REINALD J KOZIKOWSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

REINALD J

Last Name

KOZIKOWSKI

Suffix

Business Name

REINALD J KOZIKOWSKI MD

Original Issue Date

08/26/1987

Effective Date

08/26/1987

Expiration Date

07/31/1993

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006