AMANDA BROOKE ALLEN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069623

License Status

CANCELLED

Business

Title

First Name

AMANDA

Middle

BROOKE

Last Name

ALLEN

Business Name

AMANDA BROOKE ALLEN DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

06/03/2016