PRESTON B CANNADY JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

PRESTON

Middle

Last Name

CANNADY

Suffix

JR MD

Business Name

PRESTON B CANNADY JR MD

Original Issue Date

02/22/1996

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020