SAMUEL DAVID RACETTE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069920

License Status

EXPIRED

Business

Title

First Name

SAMUEL

Middle

DAVID

Last Name

RACETTE

Business Name

SAMUEL DAVID RACETTE MD

Original Issue Date

06/30/2020

Effective Date

06/30/2020

Expiration Date

06/29/2022

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

10/11/2022