TRACY H MOSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069005

License Status

NOT RENEWED

Business

First Name

TRACY H

Last Name

MOSS

Suffix

Business Name

TRACY H MOSS MD

Original Issue Date

07/12/1984

Effective Date

07/12/1984

Expiration Date

07/31/1987

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006