JOSEPH JOHN KOSMACH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

Title

First Name

JOSEPH

Middle

JOHN

Last Name

KOSMACH

Business Name

JOSEPH JOHN KOSMACH DO

Original Issue Date

05/24/2016

Effective Date

06/07/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/14/2021