DOUGLAS T CANNON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029735

License Status

EXPIRED

Business

First Name

DOUGLAS

Middle

Last Name

CANNON

Business Name

DOUGLAS T CANNON

Original Issue Date

05/18/1993

Effective Date

05/18/1993

Expiration Date

06/21/1997

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/26/2013