RICHARD F NOVAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036120

License Status

NOT RENEWED

Business

First Name

RICHARD F

Last Name

NOVAK

Suffix

Business Name

RICHARD F NOVAK MD

Original Issue Date

09/11/1959

Effective Date

09/11/1959

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006