PHILIP JOHN QUANN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123660

License Status

NOT RENEWED

Business

Title

First Name

PHILIP

Middle

JOHN

Last Name

QUANN

Business Name

PHILIP JOHN QUANN MD

Original Issue Date

06/08/2009

Effective Date

06/08/2009

Expiration Date

07/31/2011

City

DODGEVILLE

State

Zip

53533

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/14/2011