JULIA KOZIOL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****47

License Status

NOT RENEWED

Business

First Name

JULIA

Last Name

KOZIOL

Business Name

JULIA KOZIOL

Original Issue Date

02/07/2012

Effective Date

01/28/2020

Expiration Date

03/01/2022

City

PARK RIDGE

State

Zip

60068

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022