JOSEPH A NOVOTNY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

JOSEPH A

Last Name

NOVOTNY

Suffix

Business Name

JOSEPH A NOVOTNY MD

Original Issue Date

07/19/2022

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023