RACHELLE EMILY BERNACKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108587

License Status

NOT RENEWED

Business

First Name

RACHELLE

Middle

EMILY

Last Name

BERNACKI

Suffix

Business Name

RACHELLE EMILY BERNACKI MD

Original Issue Date

02/14/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008