RAYMOND ROBERT NOWAK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

RAYMOND ROBERT

Last Name

NOWAK

Suffix

DDS

Business Name

RAYMOND ROBERT NOWAK DDS

Original Issue Date

01/01/1998

Effective Date

11/10/2005

Expiration Date

09/30/2006

City

STERLING

State

Zip

61081

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006