TRACY M BUXTON - Physician Assistant License in Illinois | # 085003952

TRACY M BUXTON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003952

License Status

NOT RENEWED

Business

N

First Name

TRACY

Middle

M

Last Name

BUXTON

Business Name

TRACY M BUXTON

Original Issue Date

11/10/2010

Effective Date

02/24/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

07/01/2014