EDMUND GEORGE ANDRACKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034178

License Status

NOT RENEWED

Business

Title

First Name

EDMUND GEORGE

Last Name

ANDRACKI

Business Name

EDMUND GEORGE ANDRACKI MD

Original Issue Date

08/17/1956

Effective Date

09/23/2008

Expiration Date

07/31/2011

City

WESTVILLE

State

Zip

61883

County

VERMILION

Ever Disciplined

LastModifiedDate

11/14/2011