GANNON T DUDLAR MD SC - Medical Corporation License in Illinois | # 042618821

GANNON T DUDLAR MD SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042618821

License Status

NOT RENEWED

Business

Y

Business Name

GANNON T DUDLAR MD SC

Original Issue Date

05/09/2006

Effective Date

12/14/2009

Expiration Date

01/01/2011

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2011