JOSEPHINE TRACY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065504

License Status

CANCELLED

Business

Title

First Name

JOSEPHINE

Last Name

TRACY

Business Name

JOSEPHINE TRACY MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

08/21/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

04/04/2017