GERTRUDE MARTHA NOVAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032817

License Status

NOT RENEWED

Business

First Name

GERTRUDE MARTHA

Last Name

NOVAK

Suffix

Business Name

GERTRUDE MARTHA NOVAK MD

Original Issue Date

06/25/1954

Effective Date

04/27/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014