PETER A NOVOTA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

PETER A

Last Name

NOVOTA

Business Name

PETER A NOVOTA

Original Issue Date

09/05/1995

Effective Date

06/11/2020

Expiration Date

07/31/2023

City

SAN RAFAEL

State

Zip

94901

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023