SEAN DAVID LATTIMORE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102258

License Status

ACTIVE

Business

First Name

SEAN

Middle

DAVID

Last Name

LATTIMORE

Suffix

Business Name

SEAN DAVID LATTIMORE DO

Original Issue Date

03/31/2000

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

04/08/2023