RICHARD JAY RASKIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

RICHARD JAY

Last Name

RASKIN

Suffix

Business Name

RICHARD JAY RASKIN MD

Original Issue Date

08/13/1997

Effective Date

08/13/1997

Expiration Date

07/31/1999

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006