KATHERINE LEIGH KOZAREK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

Title

First Name

KATHERINE

Middle

LEIGH

Last Name

KOZAREK

Business Name

KATHERINE LEIGH KOZAREK MD

Original Issue Date

05/11/2017

Effective Date

05/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

01/14/2021