TRACY LEE BONGIORNO - Physician Assistant License in Illinois | # 085002051

TRACY LEE BONGIORNO

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002051

License Status

ACTIVE

Business

N

First Name

TRACY

Middle

LEE

Last Name

BONGIORNO

Business Name

TRACY LEE BONGIORNO

Original Issue Date

08/11/2003

Effective Date

02/20/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

02/20/2026