EVAN DAVID ALLEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035567

License Status

EXPIRED

Business

First Name

EVAN

Middle

DAVID

Last Name

ALLEN

Suffix

Business Name

EVAN DAVID ALLEN MD

Original Issue Date

11/02/1996

Effective Date

11/02/1996

Expiration Date

11/14/1999

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/15/2013