ANDREW GANNON CORKERY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069114

License Status

CANCELLED

Business

Title

First Name

ANDREW

Middle

GANNON

Last Name

CORKERY

Business Name

ANDREW GANNON CORKERY MD

Original Issue Date

06/26/2016

Effective Date

06/26/2016

Expiration Date

06/25/2019

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/23/2016