RICHARD ELLIOTT ALLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101819

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

ELLIOTT

Last Name

ALLEN

Suffix

Business Name

RICHARD ELLIOTT ALLEN MD

Original Issue Date

01/18/2000

Effective Date

01/18/2000

Expiration Date

07/31/2002

City

MILLCREEK

State

Zip

84109

Ever Disciplined

LastModifiedDate

10/09/2006