DAVID JONATHAN TESTRAKE MD - Medical Doctor License in Illinois | # 036148869

DAVID JONATHAN TESTRAKE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148869

License Status

NOT RENEWED

Business

N

Title

MD

First Name

DAVID

Middle

JONATHAN

Last Name

TESTRAKE

Business Name

DAVID JONATHAN TESTRAKE MD

Original Issue Date

04/02/2019

Effective Date

04/02/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021