SUZANNE MARY NOWAK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032397

License Status

EXPIRED

Business

First Name

SUZANNE MARY

Last Name

NOWAK

Business Name

SUZANNE MARY NOWAK

Original Issue Date

01/31/1995

Effective Date

01/31/1995

Expiration Date

01/31/1997

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006