SUE-ANN ELIZABETH NOVAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041499

License Status

EXPIRED

Business

First Name

SUE-ANN

Middle

ELIZABETH

Last Name

NOVAK

Suffix

Business Name

SUE-ANN ELIZABETH NOVAK MD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006