MARK D CANTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082935

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

CANTY

Suffix

Business Name

MARK D CANTY MD

Original Issue Date

07/11/1991

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

11/01/2017