MARK EDWARD KOZMINSKY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055189

License Status

INACTIVE

Business

First Name

MARK EDWARD

Last Name

KOZMINSKY

Suffix

Business Name

MARK EDWARD KOZMINSKY MD

Original Issue Date

07/22/1977

Effective Date

07/22/1977

Expiration Date

07/31/1987

City

PORT MATILDA

State

Zip

16870

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006