TRACY MARIE ALLEN CAMPBELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

First Name

TRACY

Middle

MARIE ALLEN

Last Name

CAMPBELL

Suffix

Business Name

TRACY MARIE ALLEN CAMPBELL MD

Original Issue Date

05/02/2008

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023