GREGORY GEORGE RACKAUSKAS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

First Name

GREGORY GEORGE

Last Name

RACKAUSKAS

Suffix

DDS

Business Name

GREGORY GEORGE RACKAUSKAS DDS

Original Issue Date

01/01/1998

Effective Date

06/12/2018

Expiration Date

01/31/2022

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022