GEORGE MACKEY CANNON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122734

License Status

NOT RENEWED

Business

First Name

GEORGE

Middle

MACKEY

Last Name

CANNON

Suffix

Business Name

GEORGE MACKEY CANNON MD

Original Issue Date

03/02/2009

Effective Date

05/19/2011

Expiration Date

07/31/2014

City

MADISON

State

Zip

53792

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014