EWA NOWAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

EWA

Last Name

NOWAK

Suffix

Business Name

EWA NOWAK MD

Original Issue Date

01/29/2007

Effective Date

07/01/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60646

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017