EVAN DAVID ALLEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

First Name

EVAN

Middle

DAVID

Last Name

ALLEN

Suffix

Business Name

EVAN DAVID ALLEN MD

Original Issue Date

11/18/2002

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/24/2023