MICHELE EMORY KOCZMAN 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

MICHELE

Middle

EMORY

Last Name

KOCZMAN

Business Name

MICHELE EMORY KOCZMAN

Original Issue Date

05/20/2021

Effective Date

12/21/2022

Expiration Date

03/01/2024

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025