LAURENCE MARTIN NOVICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041381

License Status

NOT RENEWED

Business

First Name

LAURENCE MARTIN

Last Name

NOVICK

Suffix

Business Name

LAURENCE MARTIN NOVICK MD

Original Issue Date

08/29/1967

Effective Date

08/29/1967

City

PHOENIX

State

Zip

85020

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006