ANGEL LASHERAN ALLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

ANGEL

Middle

LASHERAN

Last Name

ALLEN

Suffix

Business Name

ANGEL LASHERAN ALLEN MD

Original Issue Date

02/25/2002

Effective Date

02/25/2002

Expiration Date

07/31/2005

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006