PAUL B CANNON Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

Last Name

CANNON

Business Name

PAUL B CANNON

Original Issue Date

03/29/2004

Effective Date

01/13/2015

Expiration Date

01/31/2017

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/27/2017