SHADI LATTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121973

License Status

ACTIVE

Business

First Name

SHADI

Last Name

LATTA

Suffix

Business Name

SHADI LATTA MD

Original Issue Date

09/19/2008

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

TINLEY PARK

State

Zip

60487

County

COOK

Ever Disciplined

LastModifiedDate

10/02/2025