CHRISTOPHER MARK CANNON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

MARK

Last Name

CANNON

Business Name

CHRISTOPHER MARK CANNON

Original Issue Date

12/16/2002

Effective Date

12/16/2002

Expiration Date

09/30/2004

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005