MARY ANN RACKAUSKAS DMD - Dentist License in Illinois | # 137000463

MARY ANN RACKAUSKAS DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000463

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

ANN

Last Name

RACKAUSKAS

Suffix

DMD

Business Name

MARY ANN RACKAUSKAS DMD

Original Issue Date

08/04/1999

Effective Date

07/24/2006

Expiration Date

09/30/2009

State

IL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

N

LastModifiedDate

11/04/2009