Octavia Manetta Cannon
ActiveMichigan license 5101012864
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5101012864
- Status
- Active
- First issued
- September 9, 1996
- Expires
- September 9, 2028
- License holder
- Octavia Manetta Cannon
- Entity type
- Individual
Classifications
- Osteopathic Physician Physicians & Surgeons