VIRGINIA T ALLEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022766

License Status

EXPIRED

Business

First Name

VIRGINIA T

Last Name

ALLEN

Suffix

Business Name

VIRGINIA T ALLEN MD

Original Issue Date

06/14/1988

Effective Date

06/14/1988

Expiration Date

06/22/1991

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006