TRACI RANDELL TRICE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169669

License Status

ACTIVE

Business

Title

First Name

TRACI

Middle

RANDELL

Last Name

TRICE

Business Name

TRACI RANDELL TRICE MD

Original Issue Date

04/03/2024

Effective Date

04/03/2024

Expiration Date

07/31/2026

City

CANTON

State

Zip

48188

County

WAYNE

Ever Disciplined

LastModifiedDate

04/03/2024