WALTER CANNON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033248

License Status

EXPIRED

Business

First Name

WALTER

Last Name

CANNON

Business Name

WALTER CANNON

Original Issue Date

06/10/1995

Effective Date

06/10/1995

Expiration Date

06/25/1999

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006