PETER MARK MCGANNON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049375

License Status

EXPIRED

Business

First Name

PETER

Middle

MARK

Last Name

MCGANNON

Suffix

Business Name

PETER MARK MCGANNON MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

07/15/2009