EMMANUEL C CONANAN MD - Medical Doctor License in Illinois | # 125037212

EMMANUEL C CONANAN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037212

License Status

EXPIRED

Business

N

First Name

EMMANUEL

Middle

C

Last Name

CONANAN

Suffix

MD

Business Name

EMMANUEL C CONANAN MD

Original Issue Date

08/19/1997

Effective Date

08/19/1997

Expiration Date

08/17/2000

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006