TRACY BOYKIN-WILSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

TRACY

Last Name

BOYKIN-WILSON

Suffix

Business Name

TRACY BOYKIN-WILSON MD

Original Issue Date

03/31/2000

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023