HOLLY NOVAK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

CANCELLED

Business

First Name

HOLLY

Last Name

NOVAK

Suffix

Business Name

HOLLY NOVAK MD

Original Issue Date

08/31/1989

Effective Date

08/31/1989

Expiration Date

07/31/1990

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020