ITAMAR LATIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141119

License Status

NOT RENEWED

Business

First Name

ITAMAR

Last Name

LATIN

Suffix

Business Name

ITAMAR LATIN MD

Original Issue Date

06/30/2016

Effective Date

06/30/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017