BRIAN ANTHONY CANAVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

ANTHONY

Last Name

CANAVAN

Business Name

BRIAN ANTHONY CANAVAN MD

Original Issue Date

06/28/2007

Effective Date

05/06/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60601

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/17/2014