License holder summary

Rostyslav Koziy is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Rostyslav Koziy is Porter Memorial Hospital, 814 LaPorte Avenue - Attn: Mag Bassett, Valparaiso IN 46383. This licensed professional license is current. The license was granted 05/27/2004 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Rostyslav Koziy
Controlled Substance Registration - Physician
License number
01059044B
Date granted
05/27/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Porter Memorial Hospital, 814 LaPorte Avenue - Attn: Mag Bassett, Valparaiso IN 46383
indianalicensing.org
ID 5929726
LAST UPDATED 2026-03-26 18:25:30 UTC

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