DOUGLAS T CANNON - Medical Doctor License in Illinois | # 125029735

DOUGLAS T CANNON

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029735

License Status

EXPIRED

Business

N

First Name

DOUGLAS

Middle

T

Last Name

CANNON

Business Name

DOUGLAS T CANNON

Original Issue Date

05/18/1993

Effective Date

05/18/1993

Expiration Date

06/21/1997

State

IL

Ever Disciplined

N

LastModifiedDate

07/26/2013