KRISTIE NOWAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

Title

First Name

KRISTIE

Last Name

NOWAK

Business Name

KRISTIE NOWAK MD

Original Issue Date

06/08/2020

Effective Date

06/08/2020

Expiration Date

07/31/2023

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023