TRACY A BOCHANTIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

First Name

TRACY

Middle

Last Name

BOCHANTIN

Suffix

Business Name

TRACY A BOCHANTIN MD

Original Issue Date

07/16/1998

Effective Date

01/07/2025

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023