ANN COLLEEN ALLIE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049247

License Status

CANCELLED

Business

Title

First Name

ANN

Middle

COLLEEN

Last Name

ALLIE

Business Name

ANN COLLEEN ALLIE MD

Original Issue Date

06/24/2005

Effective Date

06/24/2005

Expiration Date

06/23/2008

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006