DALLEN BEN ASHBY MD - Medical Doctor License in Illinois | # 036119704

DALLEN BEN ASHBY MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119704

License Status

NOT RENEWED

Business

N

First Name

DALLEN

Middle

BEN

Last Name

ASHBY

Suffix

MD

Business Name

DALLEN BEN ASHBY MD

Original Issue Date

11/16/2007

Effective Date

06/02/2008

Expiration Date

07/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2011