TRACY L CALLINAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001853

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

CALLINAN

Business Name

TRACY L CALLINAN

Original Issue Date

08/23/2002

Effective Date

08/23/2002

Expiration Date

03/01/2008

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

04/23/2008