ASHLEY NICOLE LAFATA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140115

License Status

NOT RENEWED

Business

Title

First Name

ASHLEY

Middle

NICOLE

Last Name

LAFATA

Business Name

ASHLEY NICOLE LAFATA MD

Original Issue Date

03/23/2016

Effective Date

03/23/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017