KEVIN ROBERT KOZAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121114

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

ROBERT

Last Name

KOZAK

Business Name

KEVIN ROBERT KOZAK MD

Original Issue Date

06/06/2008

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

EDGERTON

State

Zip

53534

Ever Disciplined

LastModifiedDate

04/08/2023