GARY A RATKIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

CANCELLED

Business

First Name

GARY A

Last Name

RATKIN

Suffix

Business Name

GARY A RATKIN MD

Original Issue Date

06/17/1988

Effective Date

06/17/1988

Expiration Date

07/31/2005

City

CHESTER

State

Zip

62233

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006