ALLAN DOUGLAS NANNEY III MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055764

License Status

CANCELLED

Business

Title

First Name

ALLAN

Middle

DOUGLAS

Last Name

NANNEY

Suffix

III

Business Name

ALLAN DOUGLAS NANNEY III MD

Original Issue Date

06/23/2009

Effective Date

06/23/2009

Expiration Date

06/22/2012

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

04/28/2009