DOROTHY A NOVAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064630

License Status

NOT RENEWED

Business

First Name

DOROTHY A

Last Name

NOVAK

Suffix

Business Name

DOROTHY A NOVAK MD

Original Issue Date

06/28/1982

Effective Date

06/28/1982

Expiration Date

07/31/1987

City

BUTTERNUT

State

Zip

54514

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/30/2014

Case Number

2013002893

Action

Refuse To Renew

Discipline Start Date

07/03/2013

Discipline Reason

after being disciplined by the state of Wisconsin.