DALLEN BEN ASHBY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050266

License Status

CANCELLED

Business

First Name

DALLEN

Middle

BEN

Last Name

ASHBY

Suffix

Business Name

DALLEN BEN ASHBY MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

04/09/2009