MICHAEL CANNEY DEVISSER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067318

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

CANNEY

Last Name

DEVISSER

Business Name

MICHAEL CANNEY DEVISSER MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/24/2018