TRACY MARIE ALLEN CAMPBELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049666

License Status

EXPIRED

Business

First Name

TRACY

Middle

MARIE ALLEN

Last Name

CAMPBELL

Suffix

Business Name

TRACY MARIE ALLEN CAMPBELL MD

Original Issue Date

06/23/2005

Effective Date

06/23/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

01/05/2010