EVAN DAVID ALLEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108165

License Status

ACTIVE

Business

First Name

EVAN

Middle

DAVID

Last Name

ALLEN

Suffix

Business Name

EVAN DAVID ALLEN MD

Original Issue Date

11/14/2002

Effective Date

04/30/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

Ever Disciplined

LastModifiedDate

04/30/2023