STANLEY CHARLES ALLEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056227

License Status

CANCELLED

Business

Title

First Name

STANLEY

Middle

CHARLES

Last Name

ALLEN

Business Name

STANLEY CHARLES ALLEN MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

LastModifiedDate

05/20/2009