WALTER CANNON - Medical Doctor License in Illinois | # 125033248

WALTER CANNON

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033248

License Status

EXPIRED

Business

N

First Name

WALTER

Last Name

CANNON

Business Name

WALTER CANNON

Original Issue Date

06/10/1995

Effective Date

06/10/1995

Expiration Date

06/25/1999

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

09/22/2006