JASON CHAD RAKITA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140580

License Status

INACTIVE

Business

Title

First Name

JASON

Middle

CHAD

Last Name

RAKITA

Business Name

JASON CHAD RAKITA MD

Original Issue Date

05/04/2016

Effective Date

06/26/2020

Expiration Date

07/31/2023

City

JANESVILLE

State

Zip

53548

Ever Disciplined

LastModifiedDate

07/31/2023