BRIANA M KOZAK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****75

License Status

ACTIVE

Business

First Name

BRIANA

Middle

Last Name

KOZAK

Business Name

BRIANA M KOZAK

Original Issue Date

01/26/2024

Effective Date

01/15/2026

Expiration Date

03/01/2028

City

NORTHFIELD

State

Zip

60093

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/15/2026