NANCY R NOVOTNY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068463

License Status

NOT RENEWED

Business

First Name

NANCY R

Last Name

NOVOTNY

Suffix

Business Name

NANCY R NOVOTNY MD

Original Issue Date

04/02/1984

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021