JACQUELINE M ALLEN MD - Medical Doctor License in Illinois | # 125062901

JACQUELINE M ALLEN MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062901

License Status

CANCELLED

Business

N

Title

MD

First Name

JACQUELINE

Middle

M

Last Name

ALLEN

Business Name

JACQUELINE M ALLEN MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

03/24/2014