License holder summary

Michael Sean Kozak is a Medical Residency Permit licensed to practice in Indiana. The address on file for Michael Sean Kozak is South Bend IN 46601-1035. This licensed professional license is not current. The license was granted 06/13/2012 and expired on 06/30/2014.

Indiana

Professional Licensing Agency

Michael Sean Kozak
Medical Residency Permit
License number
11016802A
Date granted
06/13/2012
Date expires
06/30/2014
Class
Medical Residency Permit
Status
Superceded
Address
South Bend IN 46601-1035
indianalicensing.org
ID 5996582
LAST UPDATED 2024-04-20 13:46:29 UTC

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