HENRY SHANNON KINGDON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040957

License Status

NOT RENEWED

Business

First Name

HENRY SHANNON

Last Name

KINGDON

Suffix

Business Name

HENRY SHANNON KINGDON MD

Original Issue Date

05/01/1967

Effective Date

05/01/1967

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006