THERESE MARREN GRACEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045488

License Status

EXPIRED

Business

First Name

THERESE

Middle

MARREN

Last Name

GRACEY

Suffix

Business Name

THERESE MARREN GRACEY MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/24/2005

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006