TRACEE CHAVAWN SHORT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170514

License Status

ACTIVE

Business

Title

First Name

TRACEE

Middle

CHAVAWN

Last Name

SHORT

Business Name

TRACEE CHAVAWN SHORT MD

Original Issue Date

06/07/2024

Effective Date

06/07/2024

Expiration Date

07/31/2026

City

BATON ROUGE

State

Zip

70810

Ever Disciplined

LastModifiedDate

06/07/2024