MICHELE EMORY KOCZMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007232

License Status

NOT RENEWED

Business

First Name

MICHELE

Middle

EMORY

Last Name

KOCZMAN

Business Name

MICHELE EMORY KOCZMAN

Original Issue Date

08/26/2019

Effective Date

06/25/2022

Expiration Date

03/01/2024

City

OAK LAWN

State

Zip

60453

Ever Disciplined

LastModifiedDate

02/05/2025