MARK MATTHEW ALLENDORPH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072597

License Status

NOT RENEWED

Business

First Name

MARK MATTHEW

Last Name

ALLENDORPH

Suffix

Business Name

MARK MATTHEW ALLENDORPH MD

Original Issue Date

04/21/1986

Effective Date

07/08/2020

Expiration Date

07/31/2023

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

11/30/2023