TRACY S SEO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

CANCELLED

Business

First Name

TRACY

Middle

Last Name

SEO

Business Name

TRACY S SEO

Original Issue Date

08/15/2000

Effective Date

08/15/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006