KIMBERLY MICHELLE NOWAK DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056289

License Status

CANCELLED

Business

Title

First Name

KIMBERLY

Middle

MICHELLE

Last Name

NOWAK

Business Name

KIMBERLY MICHELLE NOWAK DO

Original Issue Date

06/22/2012

Effective Date

06/22/2012

Expiration Date

06/21/2013

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/01/2012