THOMAS W ALLEN - Medical Doctor License in Illinois | # 125042252

THOMAS W ALLEN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042252

License Status

EXPIRED

Business

N

First Name

THOMAS

Middle

W

Last Name

ALLEN

Business Name

THOMAS W ALLEN

Original Issue Date

06/19/2001

Effective Date

06/19/2001

Expiration Date

06/18/2004

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006