WALTER CANNON Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099257

License Status

INACTIVE

Business

First Name

WALTER

Last Name

CANNON

Business Name

WALTER CANNON

Original Issue Date

10/29/1998

Effective Date

10/29/1998

Expiration Date

07/31/2002

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006