DAVID MICHAEL GANNON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080165

License Status

EXPIRED

Business

Title

First Name

DAVID

Middle

MICHAEL

Last Name

GANNON

Business Name

DAVID MICHAEL GANNON MD

Original Issue Date

06/22/2022

Effective Date

06/22/2022

Expiration Date

06/21/2023

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/06/2024