EDMUND GEORGE ANDRACKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

Title

First Name

EDMUND GEORGE

Last Name

ANDRACKI

Business Name

EDMUND GEORGE ANDRACKI MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

WESTVILLE

State

Zip

61883

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011