MARY JEAN CANNON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068702

License Status

INACTIVE

Business

First Name

MARY JEAN

Last Name

CANNON

Suffix

Business Name

MARY JEAN CANNON MD

Original Issue Date

05/23/1984

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2020