TRACEY I MCLOONE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

TRACEY

Middle

Last Name

MCLOONE

Suffix

Business Name

TRACEY I MCLOONE MD

Original Issue Date

08/06/1998

Effective Date

06/29/2011

Expiration Date

07/31/2014

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020