GREGORY GRZEGORZ NOWAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034657

License Status

EXPIRED

Business

First Name

GREGORY

Middle

GRZEGORZ

Last Name

NOWAK

Suffix

Business Name

GREGORY GRZEGORZ NOWAK MD

Original Issue Date

05/23/1996

Effective Date

05/23/1996

Expiration Date

06/19/1999

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006