TRACEY ANNE DELUCIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

TRACEY

Middle

ANNE

Last Name

DELUCIA

Suffix

Business Name

TRACEY ANNE DELUCIA MD

Original Issue Date

05/23/2011

Effective Date

05/23/2011

Expiration Date

07/31/2014

City

PEKIN

State

Zip

61554

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017