Larry Roland Shannon MD
Temporary Medical Permit
Illinois 125048532 Expired
This Illinois license was held by Larry Roland Shannon MD. The license is no longer active. It was granted on 06/22/2004 and expired on 06/30/2010
LICENSE DETAILS
- License Number: 125048532
- Category: TEMPORARY MEDICAL PERMIT
- Status: Expired
- Date Granted: 06/22/2004 (almost 21 years ago)
- Expiry Date: 06/30/2010 (almost 15 years ago)
LOCATIONS
A Address
Buffalo, NY 14209-1452