ANTHONY JOHN CANNON MD - Medical Doctor License in Illinois | # 125062737

ANTHONY JOHN CANNON MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062737

License Status

CANCELLED

Business

N

Title

MD

First Name

ANTHONY

Middle

JOHN

Last Name

CANNON

Business Name

ANTHONY JOHN CANNON MD

Original Issue Date

06/23/2013

Effective Date

06/23/2013

Expiration Date

06/22/2016

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

03/24/2014