TRACY CRAIG ORTON DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****64

NOT RENEWED

N

TRACY

CRAIG

ORTON

DO

TRACY CRAIG ORTON DO

05/12/2005

05/12/2005

07/31/2008

QUINCY

IL

62301

ADAMS

II III IV V

N

11/06/2008