GERTRUDE MARTHA NOVAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

GERTRUDE MARTHA

Last Name

NOVAK

Suffix

Business Name

GERTRUDE MARTHA NOVAK MD

Original Issue Date

07/30/1981

Effective Date

07/28/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011