MARY H NOVAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067707

License Status

NOT RENEWED

Business

First Name

MARY H

Last Name

NOVAK

Suffix

Business Name

MARY H NOVAK MD

Original Issue Date

09/30/1983

Effective Date

09/30/1983

Expiration Date

07/31/1987

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006