PAUL B CANNON Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005169

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

Last Name

CANNON

Business Name

PAUL B CANNON

Original Issue Date

02/23/2004

Effective Date

01/13/2015

Expiration Date

01/31/2017

City

FALLS CHURCH

State

Zip

22046

County

VIRGINIA

Ever Disciplined

LastModifiedDate

03/27/2017