JOHN LAWRENCE ALLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040344

License Status

NOT RENEWED

Business

First Name

JOHN LAWRENCE

Last Name

ALLEN

Suffix

Business Name

JOHN LAWRENCE ALLEN MD

Original Issue Date

05/23/1966

Effective Date

05/23/1966

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006