THERESA BARBRA TRACY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099172

License Status

INACTIVE

Business

First Name

THERESA

Middle

BARBRA

Last Name

TRACY

Suffix

Business Name

THERESA BARBRA TRACY MD

Original Issue Date

10/07/1998

Effective Date

10/07/1998

Expiration Date

07/31/2005

City

NORWICH

State

Zip

13815

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006