LAURA L CONCANNON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

First Name

LAURA

Middle

Last Name

CONCANNON

Suffix

Business Name

LAURA L CONCANNON MD

Original Issue Date

09/16/1999

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2023