TRACEY CHANTELL CAWTHORN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054112

License Status

EXPIRED

Business

Title

First Name

TRACEY

Middle

CHANTELL

Last Name

CAWTHORN

Business Name

TRACEY CHANTELL CAWTHORN MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

07/19/2011