KEITH B ALLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082582

License Status

NOT RENEWED

Business

First Name

KEITH B

Last Name

ALLEN

Suffix

Business Name

KEITH B ALLEN MD

Original Issue Date

06/07/1991

Effective Date

06/07/1991

Expiration Date

07/31/1996

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

03/22/2007