KRISTIE NOWAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153201

License Status

NOT RENEWED

Business

Title

First Name

KRISTIE

Last Name

NOWAK

Business Name

KRISTIE NOWAK MD

Original Issue Date

06/01/2020

Effective Date

06/01/2020

Expiration Date

07/31/2023

City

PONTOTOC

State

Zip

38863

Ever Disciplined

LastModifiedDate

11/30/2023