ALLEN T MIKHAIL Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046014

License Status

CANCELLED

Business

First Name

ALLEN

Middle

Last Name

MIKHAIL

Business Name

ALLEN T MIKHAIL

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/23/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006