CHARLES SANFORD GANNON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040153

License Status

NOT RENEWED

Business

First Name

CHARLES SANFORD

Last Name

GANNON

Suffix

Business Name

CHARLES SANFORD GANNON MD

Original Issue Date

11/22/1965

Effective Date

11/22/1965

City

TUCSON

State

Zip

85712

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006