SUSAN MARIE NOWAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064702

License Status

NOT RENEWED

Business

First Name

SUSAN MARIE

Last Name

NOWAK

Suffix

Business Name

SUSAN MARIE NOWAK MD

Original Issue Date

07/13/1982

Effective Date

06/08/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021