TRACY L ELLINGTON DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****70

License Status

ACTIVE

Business

First Name

TRACY

Middle

Last Name

ELLINGTON

Suffix

DPM

Business Name

TRACY L ELLINGTON DPM

Original Issue Date

03/26/2002

Effective Date

11/15/2024

Expiration Date

01/31/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025