TRACEY WAY CHILDERS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148326

License Status

ACTIVE

Business

Title

First Name

TRACEY

Middle

WAY

Last Name

CHILDERS

Business Name

TRACEY WAY CHILDERS DO

Original Issue Date

02/11/2019

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

TULSA

State

Zip

74136

Ever Disciplined

LastModifiedDate

12/04/2024