JEFFREY ROBERT CANHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

JEFFREY ROBERT

Last Name

CANHAM

Suffix

Business Name

JEFFREY ROBERT CANHAM MD

Original Issue Date

01/01/1997

Effective Date

07/12/2017

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021