MARK ADAM RACKISH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061553

License Status

NOT RENEWED

Business

First Name

MARK ADAM

Last Name

RACKISH

Suffix

Business Name

MARK ADAM RACKISH MD

Original Issue Date

02/03/1981

Effective Date

02/03/1981

Expiration Date

07/31/1984

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006