RICHARD T ALLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118692

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

ALLEN

Suffix

Business Name

RICHARD T ALLEN MD

Original Issue Date

06/14/2007

Effective Date

06/14/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008