ANDREW JULIAN NOWAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

First Name

ANDREW JULIAN

Last Name

NOWAK

Business Name

ANDREW JULIAN NOWAK

Original Issue Date

11/26/1985

Effective Date

11/26/1985

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005