TRACY L ELLINGTON DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005064

License Status

ACTIVE

Business

First Name

TRACY

Middle

Last Name

ELLINGTON

Suffix

DPM

Business Name

TRACY L ELLINGTON DPM

Original Issue Date

03/04/2002

Effective Date

11/15/2024

Expiration Date

01/31/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/26/2025