TRACY L PRICE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

PRICE

Business Name

TRACY L PRICE

Original Issue Date

04/16/2002

Effective Date

06/21/2011

Expiration Date

07/31/2014

City

FORT KNOX

State

Zip

40121

County

KENTUCKY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020