MALGORZATA I KOZINSKI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

MALGORZATA

Middle

Last Name

KOZINSKI

Business Name

MALGORZATA I KOZINSKI

Original Issue Date

05/13/2002

Effective Date

05/13/2002

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008