GEORGE M PRACKUP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

GEORGE

Middle

Last Name

PRACKUP

Suffix

Business Name

GEORGE M PRACKUP MD

Original Issue Date

06/18/1998

Effective Date

06/18/1998

Expiration Date

07/31/2005

City

BLUE ISLAND

State

Zip

60406

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020