MARK FARREL KOZLOFF MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

First Name

MARK FARREL

Last Name

KOZLOFF

Suffix

Business Name

MARK FARREL KOZLOFF MD

Original Issue Date

06/08/2004

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

TINLEY PARK

State

Zip

60477

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023