RICHARD L ALLEN - Medical Doctor License in Illinois | # 125033888

RICHARD L ALLEN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033888

License Status

EXPIRED

Business

N

First Name

RICHARD

Middle

L

Last Name

ALLEN

Business Name

RICHARD L ALLEN

Original Issue Date

08/15/1995

Effective Date

08/15/1995

Expiration Date

07/14/1997

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006