DAVID JONATHAN TESTRAKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148869

License Status

NOT RENEWED

Business

Title

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

City

HINES

State

Zip

60141

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021