TIMOTHY S NOVAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

First Name

TIMOTHY S

Last Name

NOVAK

Business Name

TIMOTHY S NOVAK

Original Issue Date

04/28/1989

Effective Date

04/28/1989

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/13/2005