MICHAEL BRANDON TRACY DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048891

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

BRANDON

Last Name

TRACY

Suffix

Business Name

MICHAEL BRANDON TRACY DO

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/31/2008