BRIAN ANTHONY CANAVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118840

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

ANTHONY

Last Name

CANAVAN

Business Name

BRIAN ANTHONY CANAVAN MD

Original Issue Date

06/28/2007

Effective Date

04/28/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014