RICHARD ELLIOTT ALLEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036353

License Status

EXPIRED

Business

First Name

RICHARD

Middle

ELLIOTT

Last Name

ALLEN

Suffix

Business Name

RICHARD ELLIOTT ALLEN MD

Original Issue Date

05/28/1997

Effective Date

05/28/1997

Expiration Date

06/30/2000

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006