DALLEN DAVID MILL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055022

License Status

EXPIRED

Business

Title

First Name

DALLEN

Middle

DAVID

Last Name

MILL

Business Name

DALLEN DAVID MILL MD

Original Issue Date

06/22/2008

Effective Date

06/22/2008

Expiration Date

06/21/2009

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009