ISAAC B ANNAN Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111711

License Status

INACTIVE

Business

First Name

ISAAC

Middle

Last Name

ANNAN

Business Name

ISAAC B ANNAN

Original Issue Date

06/28/2004

Effective Date

10/01/2020

Expiration Date

07/31/2023

City

MARTINEZ

State

Zip

30907

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/01/2023