PATRICIA LORRAINE KOZUCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113799

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

LORRAINE

Last Name

KOZUCH

Suffix

Business Name

PATRICIA LORRAINE KOZUCH MD

Original Issue Date

05/26/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BRONX

State

Zip

10471

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/06/2008