SUSAN MARIE NOWAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

SUSAN MARIE

Last Name

NOWAK

Suffix

Business Name

SUSAN MARIE NOWAK MD

Original Issue Date

08/06/1982

Effective Date

06/24/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020