STEPHANIE SHEPHERD TRACEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****80

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

SHEPHERD

Last Name

TRACEY

Business Name

STEPHANIE SHEPHERD TRACEY

Original Issue Date

03/16/2001

Effective Date

01/17/2026

Expiration Date

03/01/2028

City

ITASCA

State

Zip

60143

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/17/2026