MAGDALENA NOWAK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053893

License Status

CANCELLED

Business

First Name

MAGDALENA

Last Name

NOWAK

Suffix

Business Name

MAGDALENA NOWAK MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

02/07/2008