KELLI K NOWAK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****01

License Status

NOT RENEWED

Business

First Name

KELLI

Middle

Last Name

NOWAK

Business Name

KELLI K NOWAK

Original Issue Date

12/23/2013

Effective Date

12/23/2013

Expiration Date

03/01/2016

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/25/2016