ELIZABETH ASHLEY KOZAK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004076

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ASHLEY

Last Name

KOZAK

Business Name

ELIZABETH ASHLEY KOZAK

Original Issue Date

07/18/2011

Effective Date

02/24/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016