CHARLES T ALLEN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

ALLEN

Suffix

DPM

Business Name

CHARLES T ALLEN DPM

Original Issue Date

06/22/1998

Effective Date

11/18/2008

Expiration Date

01/31/2003

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006