VICTORIA ANNE TREACY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****84

License Status

NOT RENEWED

Business

First Name

VICTORIA

Middle

ANNE

Last Name

TREACY

Business Name

VICTORIA ANNE TREACY

Original Issue Date

04/16/2001

Effective Date

04/16/2001

Expiration Date

03/01/2004

City

LEMONT

State

Zip

60439

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/22/2015