JARED DANIEL NOVACK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

Title

First Name

JARED

Middle

DANIEL

Last Name

NOVACK

Business Name

JARED DANIEL NOVACK MD

Original Issue Date

04/11/2012

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023