MOLLY E KOZLOWSKI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****59

License Status

NOT RENEWED

Business

First Name

MOLLY

Middle

Last Name

KOZLOWSKI

Business Name

MOLLY E KOZLOWSKI

Original Issue Date

09/28/2009

Effective Date

12/09/2009

Expiration Date

03/01/2012

City

WINFIELD

State

Zip

60190

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/16/2012