RICHARD B NOVAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043818

License Status

EXPIRED

Business

First Name

RICHARD

Middle

Last Name

NOVAK

Suffix

Business Name

RICHARD B NOVAK MD

Original Issue Date

12/01/2001

Effective Date

12/01/2001

Expiration Date

11/30/2004

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006