GEORGE MACKEY CANNON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

GEORGE

Middle

MACKEY

Last Name

CANNON

Suffix

Business Name

GEORGE MACKEY CANNON MD

Original Issue Date

03/05/2009

Effective Date

08/16/2011

Expiration Date

07/31/2014

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014