CATHERINE NELSON KOZLOWSKI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001512

License Status

ACTIVE

Business

First Name

CATHERINE

Middle

NELSON

Last Name

KOZLOWSKI

Business Name

CATHERINE NELSON KOZLOWSKI

Original Issue Date

12/06/2000

Effective Date

01/28/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

01/28/2026

Case Number

2016005041

Action

Suspension

Discipline Start Date

08/26/2016

Discipline End Date

09/12/2016

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 09/13/2016.