MOLLY MARIE TRACY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049956

License Status

EXPIRED

Business

First Name

MOLLY

Middle

MARIE

Last Name

TRACY

Suffix

Business Name

MOLLY MARIE TRACY MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Child Neurology

Ever Disciplined

LastModifiedDate

07/31/2008