THOMAS W ALLEN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

THOMAS

Middle

Last Name

ALLEN

Business Name

THOMAS W ALLEN

Original Issue Date

01/04/2005

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60649

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2023