TRACY ANN HAERTLING DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123303

License Status

NOT RENEWED

Business

Title

First Name

TRACY

Middle

ANN

Last Name

HAERTLING

Business Name

TRACY ANN HAERTLING DO

Original Issue Date

04/30/2009

Effective Date

06/22/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014