KENNETH E NOVICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

KENNETH E

Last Name

NOVICH

Suffix

Business Name

KENNETH E NOVICH MD

Original Issue Date

06/21/1990

Effective Date

06/21/1990

Expiration Date

07/31/1993

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006