AUSTIN RAETHE MARCOLINA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072538

License Status

EXPIRED

Business

Title

First Name

AUSTIN

Middle

RAETHE

Last Name

MARCOLINA

Business Name

AUSTIN RAETHE MARCOLINA DO

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2019

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/02/2019