BRIAN D KOSSAK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076866

License Status

INACTIVE

Business

First Name

BRIAN D

Last Name

KOSSAK

Suffix

Business Name

BRIAN D KOSSAK MD

Original Issue Date

04/02/1988

Effective Date

04/02/1988

Expiration Date

07/31/1993

City

HOOKSETT

State

Zip

03106

County

NEW HAMPSHIRE

Ever Disciplined

LastModifiedDate

09/20/2006