BENJAMIN MICHAEL KOZAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156784

License Status

ACTIVE

Business

Title

First Name

BENJAMIN

Middle

MICHAEL

Last Name

KOZAK

Business Name

BENJAMIN MICHAEL KOZAK MD

Original Issue Date

04/30/2021

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

DALLAS

State

Zip

75219

Ever Disciplined

LastModifiedDate

06/09/2025