TRACY MARIE ALLEN CAMPBELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

First Name

TRACY

Middle

MARIE ALLEN

Last Name

CAMPBELL

Suffix

Business Name

TRACY MARIE ALLEN CAMPBELL MD

Original Issue Date

01/08/2020

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023