Michigan
Department of Licensing and Regulation
OCTAVIA MANETTA CANNON
Osteopathic Physician (Do) - Osteopathic Physician
License number
5101012864
Date granted
09/09/1996
Date expires
12/31/2015
Class
Osteopathic Physician (Do) - Osteopathic Physician
Status
Active
Address
Charlotte, NC 282701111
michiganlicensing.org
ID 25883961
LAST UPDATED 2024-03-05 01:23:03 UTC
LAST UPDATED 2024-03-05 01:23:03 UTC
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