License holder summary

OCTAVIA MANETTA CANNON is a Osteopathic Physician (Do) - Osteopathic Physician licensed to practice in Michigan. The address on file for OCTAVIA MANETTA CANNON is Charlotte, NC 282701111. This licensed professional license is current. The license was granted 09/09/1996 and expired on 12/31/2015.

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 2021-09-23 18:51:36 UTC

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