CAMERON MICHAEL ALLEN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079011

License Status

CANCELLED

Business

Title

First Name

CAMERON

Middle

MICHAEL

Last Name

ALLEN

Business Name

CAMERON MICHAEL ALLEN DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine/Emergency Medicine

Ever Disciplined

LastModifiedDate

05/24/2021