TRACEY ANNE GARCIA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

TRACEY

Middle

ANNE

Last Name

GARCIA

Business Name

TRACEY ANNE GARCIA

Original Issue Date

03/06/2009

Effective Date

05/17/2017

Expiration Date

09/30/2020

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021