TRACY M BUXTON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****40

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

BUXTON

Business Name

TRACY M BUXTON

Original Issue Date

12/14/2010

Effective Date

02/24/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014