GLEN A NOWACHEK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019608

License Status

EXPIRED

Business

First Name

GLEN A

Last Name

NOWACHEK

Suffix

Business Name

GLEN A NOWACHEK MD

Original Issue Date

06/19/1986

Effective Date

06/19/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006