MELANIE FAYE RAK 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

First Name

MELANIE

Middle

FAYE

Last Name

RAK

Suffix

Business Name

MELANIE FAYE RAK MD

Original Issue Date

01/14/2002

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021