JASON CHAD RAKITA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

Title

First Name

JASON

Middle

CHAD

Last Name

RAKITA

Business Name

JASON CHAD RAKITA MD

Original Issue Date

05/04/2016

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

RUSHVILLE

State

Zip

62681

County

SCHUYLER

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021