LINDA J FANNON 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

LINDA J

Last Name

FANNON

Suffix

Business Name

LINDA J FANNON MD

Original Issue Date

11/01/1984

Effective Date

11/01/1984

Expiration Date

07/31/1999

City

BOLINGBROOK

State

Zip

60440

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006