TRACY L CALLINAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****26

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

CALLINAN

Business Name

TRACY L CALLINAN

Original Issue Date

10/15/2002

Effective Date

10/15/2002

Expiration Date

03/01/2008

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

06/18/2007