MARK JOHN RASTETTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

MARK

Middle

JOHN

Last Name

RASTETTER

Suffix

Business Name

MARK JOHN RASTETTER MD

Original Issue Date

05/21/2009

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021