MARY ANN RACKAUSKAS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016392

License Status

ACTIVE

Business

First Name

MARY

Middle

ANN

Last Name

RACKAUSKAS

Suffix

DMD

Business Name

MARY ANN RACKAUSKAS DMD

Original Issue Date

07/06/1978

Effective Date

06/18/2024

Expiration Date

09/30/2027

City

SPRINGFIELD ILLINOIS

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/18/2024