GERALD JOSEPH NOWAK DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041122

License Status

INACTIVE

Business

First Name

GERALD JOSEPH

Last Name

NOWAK

Suffix

Business Name

GERALD JOSEPH NOWAK DO

Original Issue Date

07/01/1967

Effective Date

07/01/1967

Expiration Date

07/31/1987

City

ALEXANDRIA

State

Zip

22308

County

VIRGINIA

Ever Disciplined

LastModifiedDate

09/20/2006