TIMOTHY S NOVAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021196

License Status

NOT RENEWED

Business

First Name

TIMOTHY S

Last Name

NOVAK

Business Name

TIMOTHY S NOVAK

Original Issue Date

07/29/1988

Effective Date

07/29/1988

Expiration Date

09/30/1990

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005