DAVID J KRACKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

KRACKER

Suffix

Business Name

DAVID J KRACKER MD

Original Issue Date

06/03/2004

Effective Date

06/03/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60651

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020