TRACY E PAPA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000207

License Status

EXPIRED

Business

First Name

TRACY

Middle

Last Name

PAPA

Business Name

TRACY E PAPA

Original Issue Date

03/31/1993

Effective Date

03/31/1993

Expiration Date

10/31/1993

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/25/2006