AYANNA JEANNETTE MCKINNON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060244

License Status

CANCELLED

Business

Title

First Name

AYANNA

Middle

JEANNETTE

Last Name

MCKINNON

Business Name

AYANNA JEANNETTE MCKINNON MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

05/22/2014