ELIAS D TRACE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156079

License Status

ACTIVE

Business

Title

First Name

ELIAS

Middle

Last Name

TRACE

Business Name

ELIAS D TRACE MD

Original Issue Date

03/16/2021

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/13/2023