TRACY A MIZEUR Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113597

License Status

ACTIVE

Business

First Name

TRACY

Middle

Last Name

MIZEUR

Business Name

TRACY A MIZEUR

Original Issue Date

04/29/2005

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/15/2023