TRACEY M MCINTIRE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044195

License Status

EXPIRED

Business

First Name

TRACEY

Middle

Last Name

MCINTIRE

Suffix

Business Name

TRACEY M MCINTIRE DO

Original Issue Date

06/19/2002

Effective Date

06/19/2002

Expiration Date

06/30/2005

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006