SHELLI E CANNON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

SHELLI E

Last Name

CANNON

Suffix

Business Name

SHELLI E CANNON MD

Original Issue Date

09/24/1990

Effective Date

09/24/1990

Expiration Date

07/31/1993

City

LAGRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006