JESSE J CANNON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

JESSE

Middle

Last Name

CANNON

Suffix

Business Name

JESSE J CANNON MD

Original Issue Date

09/30/2010

Effective Date

09/30/2010

Expiration Date

07/31/2011

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/10/2011