HEIDI A NOVACK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

ACTIVE

Business

First Name

HEIDI A

Last Name

NOVACK

Business Name

HEIDI A NOVACK

Original Issue Date

07/28/1982

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

INDIAN HEAD PARK

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/13/2024