ANTHONY JOHN CANNON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062737

License Status

CANCELLED

Business

Title

First Name

ANTHONY

Middle

JOHN

Last Name

CANNON

Business Name

ANTHONY JOHN CANNON MD

Original Issue Date

06/23/2013

Effective Date

06/23/2013

Expiration Date

06/22/2016

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

03/24/2014