TRACY JEAN OSBORNE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

TRACY JEAN

Last Name

OSBORNE

Suffix

Business Name

TRACY JEAN OSBORNE MD

Original Issue Date

12/17/1993

Effective Date

12/17/1993

Expiration Date

07/31/1996

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006