MARTIN ALLEN URBAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015741

License Status

EXPIRED

Business

Title

First Name

MARTIN

Middle

ALLEN

Last Name

URBAN

Business Name

MARTIN ALLEN URBAN MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

06/27/1985

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006