BRIAN D ALLEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091378

License Status

NOT RENEWED

Business

First Name

BRIAN D

Last Name

ALLEN

Business Name

BRIAN D ALLEN

Original Issue Date

07/24/1995

Effective Date

07/24/1995

Expiration Date

07/31/1996

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

09/13/2013