LAVERNE MONISE BARNES DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110716

License Status

ACTIVE

Business

First Name

LAVERNE

Middle

MONISE

Last Name

BARNES

Suffix

Business Name

LAVERNE MONISE BARNES DO

Original Issue Date

01/21/2004

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

09/19/2023

Case Number

2023006707

Action

Suspension

Discipline Start Date

09/18/2023

Discipline End Date

10/16/2023

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 10/18/2023.