CHARLES SANFORD GANNON MD - Medical Doctor License in Arizona | # 036040153

CHARLES SANFORD GANNON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040153

License Status

NOT RENEWED

Business

N

First Name

CHARLES SANFORD

Last Name

GANNON

Suffix

MD

Business Name

CHARLES SANFORD GANNON MD

Original Issue Date

11/22/1965

Effective Date

11/22/1965

State

AZ

Ever Disciplined

N

LastModifiedDate

09/20/2006