ALI A LATEFI DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099276

License Status

NOT RENEWED

Business

First Name

ALI

Middle

Last Name

LATEFI

Suffix

Business Name

ALI A LATEFI DO

Original Issue Date

11/06/1998

Effective Date

11/06/1998

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

05/25/2016