TRACY ELAINE SAMBO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061319

License Status

EXPIRED

Business

Title

First Name

TRACY

Middle

ELAINE

Last Name

SAMBO

Business Name

TRACY ELAINE SAMBO MD

Original Issue Date

06/25/2012

Effective Date

06/25/2012

Expiration Date

06/24/2015

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/04/2015