LISA MARIE CANNON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

Title

First Name

LISA

Middle

MARIE

Last Name

CANNON

Business Name

LISA MARIE CANNON MD

Original Issue Date

04/02/2013

Effective Date

05/03/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021