GLEN A NOWACHEK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

CANCELLED

Business

First Name

GLEN A

Last Name

NOWACHEK

Suffix

Business Name

GLEN A NOWACHEK MD

Original Issue Date

08/17/1989

Effective Date

08/17/1989

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006