TRACY L DENNE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002410

License Status

ACTIVE

Business

First Name

TRACY

Middle

Last Name

DENNE

Business Name

TRACY L DENNE

Original Issue Date

11/08/2004

Effective Date

02/11/2026

Expiration Date

03/01/2028

City

FOX RIVER GROVE

State

Zip

60021

Ever Disciplined

LastModifiedDate

02/11/2026