TERESA MAE ALLEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038405

License Status

EXPIRED

Business

First Name

TERESA

Middle

MAE

Last Name

ALLEN

Suffix

Business Name

TERESA MAE ALLEN DO

Original Issue Date

06/22/1998

Effective Date

06/22/1998

Expiration Date

06/21/1999

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006