TRACY L VERA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039460

License Status

EXPIRED

Business

First Name

TRACY

Middle

Last Name

VERA

Business Name

TRACY L VERA

Original Issue Date

06/23/1999

Effective Date

06/23/1999

Expiration Date

06/22/2003

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006