MOLLY E KOZLOWSKI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003614

License Status

NOT RENEWED

Business

First Name

MOLLY

Middle

Last Name

KOZLOWSKI

Business Name

MOLLY E KOZLOWSKI

Original Issue Date

09/24/2009

Effective Date

12/09/2009

Expiration Date

03/01/2012

City

WINFIELD

State

Zip

60190

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/11/2012