MARGOT ISHAM VAN ALLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057921

License Status

NOT RENEWED

Business

First Name

MARGOT ISHAM

Last Name

VAN ALLEN

Suffix

Business Name

MARGOT ISHAM VAN ALLEN MD

Original Issue Date

10/23/1978

Effective Date

10/23/1978

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006