TRACY ANN FENN - Physician Assistant License in Illinois | # 085000718

TRACY ANN FENN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000718

License Status

NOT RENEWED

Business

N

First Name

TRACY ANN

Last Name

FENN

Business Name

TRACY ANN FENN

Original Issue Date

02/06/1996

Effective Date

02/06/1996

Expiration Date

03/01/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006