STEFAN PAUL KOZAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

STEFAN PAUL

Last Name

KOZAK

Suffix

Business Name

STEFAN PAUL KOZAK MD

Original Issue Date

01/01/1997

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020