MARK D CANTY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023365

License Status

EXPIRED

Business

First Name

MARK

Middle

Last Name

CANTY

Suffix

Business Name

MARK D CANTY MD

Original Issue Date

04/25/1989

Effective Date

04/25/1989

Expiration Date

07/01/1992

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006