LATA G SANTA INES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124106

License Status

ACTIVE

Business

First Name

LATA

Middle

Last Name

SANTA INES

Suffix

Business Name

LATA G SANTA INES MD

Original Issue Date

07/24/2009

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

LAKE IN THE HILLS

State

Zip

60156

County

KANE

Ever Disciplined

LastModifiedDate

07/04/2023