CHARLES T ALLEN DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000317

License Status

EXPIRED

Business

First Name

CHARLES

Middle

Last Name

ALLEN

Suffix

DPM

Business Name

CHARLES T ALLEN DPM

Original Issue Date

07/31/1996

Effective Date

07/31/1996

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006