DALLEN BEN ASHBY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119704

License Status

NOT RENEWED

Business

First Name

DALLEN

Middle

BEN

Last Name

ASHBY

Suffix

Business Name

DALLEN BEN ASHBY MD

Original Issue Date

11/16/2007

Effective Date

06/02/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011