FORREST PENDLETON ALLEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136636

License Status

NOT RENEWED

Business

Title

First Name

FORREST

Middle

PENDLETON

Last Name

ALLEN

Business Name

FORREST PENDLETON ALLEN DO

Original Issue Date

10/08/2014

Effective Date

05/23/2017

Expiration Date

09/30/2020

City

VESTAVIA

State

Zip

35243

County

ALABAMA

Ever Disciplined

LastModifiedDate

01/14/2021