MARY ANN RACKAUSKAS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ANN

Last Name

RACKAUSKAS

Suffix

DMD

Business Name

MARY ANN RACKAUSKAS DMD

Original Issue Date

01/01/1998

Effective Date

10/29/2021

Expiration Date

09/30/2024

City

SPRINGFIELD ILLINOIS

State

Zip

62712

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025