MICHAELA THOMPSON NOVAK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****02

License Status

NOT RENEWED

Business

Title

First Name

MICHAELA

Last Name

THOMPSON NOVAK

Business Name

MICHAELA THOMPSON NOVAK OD

Original Issue Date

08/07/2008

Effective Date

01/19/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012