TRACY LYNN DONAHUE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057541

License Status

CANCELLED

Business

Title

First Name

TRACY

Middle

LYNN

Last Name

DONAHUE

Business Name

TRACY LYNN DONAHUE MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

03/24/2014