TRACY W CANNON Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096270

License Status

INACTIVE

Business

First Name

TRACY

Middle

Last Name

CANNON

Business Name

TRACY W CANNON

Original Issue Date

08/05/1997

Effective Date

08/05/1997

Expiration Date

07/31/2002

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006