GEOFFREY ABBOTT ALLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114811

License Status

NOT RENEWED

Business

First Name

GEOFFREY

Middle

ABBOTT

Last Name

ALLEN

Suffix

Business Name

GEOFFREY ABBOTT ALLEN MD

Original Issue Date

10/27/2005

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011