ELIZABETH ASHLEY KOZAK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****84

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ASHLEY

Last Name

KOZAK

Business Name

ELIZABETH ASHLEY KOZAK

Original Issue Date

09/14/2011

Effective Date

02/24/2014

Expiration Date

03/01/2016

City

GLENVIEW

State

Zip

60026

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016