LATHA MARIYAPPA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108285

License Status

ACTIVE

Business

First Name

LATHA

Last Name

MARIYAPPA

Suffix

Business Name

LATHA MARIYAPPA MD

Original Issue Date

12/11/2002

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/27/2023