LON ALLEN SPROLES DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146628

License Status

NOT RENEWED

Business

Title

First Name

LON

Middle

ALLEN

Last Name

SPROLES

Business Name

LON ALLEN SPROLES DO

Original Issue Date

06/27/2018

Effective Date

08/13/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023