PATRICK T TRACY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069397

License Status

NOT RENEWED

Business

First Name

PATRICK T

Last Name

TRACY

Suffix

Business Name

PATRICK T TRACY MD

Original Issue Date

08/24/1984

Effective Date

06/15/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

03/13/2025