JONATHAN EDWARD PARRACK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056798

License Status

EXPIRED

Business

Title

First Name

JONATHAN

Middle

EDWARD

Last Name

PARRACK

Business Name

JONATHAN EDWARD PARRACK DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/29/2012