MARK E TRACY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109303

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

TRACY

Business Name

MARK E TRACY

Original Issue Date

05/21/2003

Effective Date

05/06/2011

Expiration Date

07/31/2014

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014