PATRICK T TRACY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015763

License Status

EXPIRED

Business

First Name

PATRICK T

Last Name

TRACY

Suffix

Business Name

PATRICK T TRACY MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

07/01/1985

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006