TRACY L HALL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025618

License Status

EXPIRED

Business

First Name

TRACY L

Last Name

HALL

Suffix

Business Name

TRACY L HALL DO

Original Issue Date

06/20/1990

Effective Date

06/20/1990

Expiration Date

06/30/1992

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006