ANGEL LASHERAN ALLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105760

License Status

NOT RENEWED

Business

First Name

ANGEL

Middle

LASHERAN

Last Name

ALLEN

Suffix

Business Name

ANGEL LASHERAN ALLEN MD

Original Issue Date

10/23/2001

Effective Date

10/23/2001

Expiration Date

07/31/2005

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006