KEVIN ROBERT KOZAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

ROBERT

Last Name

KOZAK

Business Name

KEVIN ROBERT KOZAK MD

Original Issue Date

06/16/2008

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

JANESVILLE

State

Zip

53548

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023