DIANA M TRACY MD Medical Doctor License verification

DIANA M TRACY MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

DIANA

Middle

Last Name

TRACY

Suffix

Business Name

DIANA M TRACY MD

Original Issue Date

04/18/2005

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/13/2024

Case Number

2024000029

Action

Suspension

Discipline Start Date

01/12/2024

Discipline Reason

physician and surgeon controlled substance license is indefinitely suspended for a minimum of four years effective retroactive to January 12, 2024 after she plead guilty to Conspiracy to Distribute Controlled Substances to her patient.