LISA MARIE CANNON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132206

License Status

NOT RENEWED

Business

Title

First Name

LISA

Middle

MARIE

Last Name

CANNON

Business Name

LISA MARIE CANNON MD

Original Issue Date

04/02/2013

Effective Date

05/03/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021