AGNES D LATTIMER Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033737

License Status

INACTIVE

Business

First Name

AGNES

Middle

DOLORES

Last Name

LATTIMER

Business Name

AGNES D LATTIMER

Original Issue Date

10/20/1955

Effective Date

07/11/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014