THERESA BARBRA TRACY MD - Medical Doctor License in New York | # 036099172

THERESA BARBRA TRACY MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099172

License Status

INACTIVE

Business

N

First Name

THERESA

Middle

BARBRA

Last Name

TRACY

Suffix

MD

Business Name

THERESA BARBRA TRACY MD

Original Issue Date

10/07/1998

Effective Date

10/07/1998

Expiration Date

07/31/2005

State

NY

Ever Disciplined

N

LastModifiedDate

10/09/2006