TYLER JARED ALLISON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058136

License Status

EXPIRED

Business

First Name

TYLER

Middle

JARED

Last Name

ALLISON

Suffix

Business Name

TYLER JARED ALLISON MD

Original Issue Date

06/26/2010

Effective Date

06/26/2010

Expiration Date

06/25/2012

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

08/29/2012