DAVID A TRACE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068632

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

TRACE

Suffix

Business Name

DAVID A TRACE MD

Original Issue Date

05/14/1984

Effective Date

08/02/2017

Expiration Date

09/30/2020

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

12/15/2025