EUGENI T KOUZOV Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096197

License Status

INACTIVE

Business

First Name

EUGENI T

Last Name

KOUZOV

Business Name

EUGENI T KOUZOV

Original Issue Date

07/29/1997

Effective Date

07/29/1997

Expiration Date

07/31/2005

City

GREEN BAY

State

Zip

54313

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006