CHARLES T ALLEN DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004865

License Status

ACTIVE

Business

First Name

CHARLES

Middle

Last Name

ALLEN

Suffix

DPM

Business Name

CHARLES T ALLEN DPM

Original Issue Date

03/04/1998

Effective Date

11/12/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

02/26/2025