LIAM GANNON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

Title

First Name

LIAM

Last Name

GANNON

Business Name

LIAM GANNON MD

Original Issue Date

01/21/2025

Effective Date

01/21/2025

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63108

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2025