TRACIE J LEONNARDT DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029325

License Status

EXPIRED

Business

First Name

TRACIE J

Last Name

LEONNARDT

Suffix

Business Name

TRACIE J LEONNARDT DO

Original Issue Date

05/01/1993

Effective Date

05/01/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006