TRACEY I MCLOONE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

First Name

TRACEY

Middle

Last Name

MCLOONE

Suffix

Business Name

TRACEY I MCLOONE MD

Original Issue Date

02/01/2021

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023