THERESE MARREN GRACEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

First Name

THERESE

Middle

MARREN

Last Name

GRACEY

Suffix

Business Name

THERESE MARREN GRACEY MD

Original Issue Date

08/31/2005

Effective Date

05/30/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/30/2023