EMMANUEL C CONANAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

EMMANUEL

Middle

Last Name

CONANAN

Suffix

Business Name

EMMANUEL C CONANAN MD

Original Issue Date

12/06/1999

Effective Date

12/06/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006