RAFAEL C HACISKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063069

License Status

NOT RENEWED

Business

First Name

RAFAEL C

Last Name

HACISKI

Suffix

Business Name

RAFAEL C HACISKI MD

Original Issue Date

08/27/1981

Effective Date

08/27/1981

Expiration Date

07/31/1984

City

GLENCOE

State

Zip

60022

County

MARYLAND

Ever Disciplined

LastModifiedDate

01/07/2015