TRACY LEE BONGIORNO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****81

License Status

ACTIVE

Business

First Name

TRACY

Middle

LEE

Last Name

BONGIORNO

Business Name

TRACY LEE BONGIORNO

Original Issue Date

10/27/2003

Effective Date

02/20/2026

Expiration Date

03/01/2028

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/20/2026