MARY ANN RACKAUSKAS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000463

License Status

NOT RENEWED

Business

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

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

11/04/2009