TRACEY ANNE DELUCIA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053859

License Status

EXPIRED

Business

First Name

TRACEY

Middle

ANNE

Last Name

DELUCIA

Suffix

Business Name

TRACEY ANNE DELUCIA MD

Original Issue Date

08/23/2007

Effective Date

08/23/2007

Expiration Date

08/22/2010

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

10/13/2010