DAFINA WISE ALLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134077

License Status

NOT RENEWED

Business

Title

First Name

DAFINA

Middle

WISE

Last Name

ALLEN

Business Name

DAFINA WISE ALLEN MD

Original Issue Date

10/16/2013

Effective Date

06/12/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017