TRACY M BUXTON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003952

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

BUXTON

Business Name

TRACY M BUXTON

Original Issue Date

11/10/2010

Effective Date

02/24/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

07/01/2014