EILEEN M ALLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

EILEEN M

Last Name

ALLEN

Suffix

Business Name

EILEEN M ALLEN MD

Original Issue Date

11/16/1993

Effective Date

07/11/2014

Expiration Date

07/31/2017

City

LISLE

State

Zip

60532

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017