License holder summary

Timothy Stephen Novak is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Timothy Stephen Novak is C/O NORMAN R NOVAK P O BOX 578, 1830 SOUTH 11 TH STREET, CHESTERTON IN 46304. This licensed professional license is not current. The license was granted 08/03/1989 and expired on 03/01/2004.

Indiana

Professional Licensing Agency

Timothy Stephen Novak
Controlled Substance Registration - Dentist
License number
12009139B
Date granted
08/03/1989
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
C/O NORMAN R NOVAK P O BOX 578, 1830 SOUTH 11 TH STREET, CHESTERTON IN 46304
indianalicensing.org
ID 5086623
LAST UPDATED 2024-04-20 10:14:13 UTC

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