DAVID JONATHAN TESTRAKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

JONATHAN

Last Name

TESTRAKE

Business Name

DAVID JONATHAN TESTRAKE MD

Original Issue Date

08/06/2019

Effective Date

08/06/2019

Expiration Date

09/30/2020

City

HINES

State

Zip

60141

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021