ISAAC B ANNAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

ISAAC

Middle

Last Name

ANNAN

Business Name

ISAAC B ANNAN

Original Issue Date

07/07/2004

Effective Date

07/07/2004

Expiration Date

07/31/2008

City

OAK FOREST

State

Zip

60452

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020