GREGORY GRZEGORZ NOWAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

GREGORY

Middle

GRZEGORZ

Last Name

NOWAK

Suffix

Business Name

GREGORY GRZEGORZ NOWAK MD

Original Issue Date

04/17/2002

Effective Date

05/08/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2023