STEPHANIE SHEPHERD TRACEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001077

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

SHEPHERD

Last Name

TRACEY

Business Name

STEPHANIE SHEPHERD TRACEY

Original Issue Date

08/05/1998

Effective Date

01/17/2026

Expiration Date

03/01/2028

City

ITASCA

State

Zip

60143

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/17/2026