TRACY K LOWER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022424

License Status

EXPIRED

Business

First Name

TRACY K

Last Name

LOWER

Suffix

Business Name

TRACY K LOWER MD

Original Issue Date

05/16/1988

Effective Date

05/16/1988

Expiration Date

06/26/1991

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006