CAROLYN KELLY LAGATTUTA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151860

License Status

ACTIVE

Business

Title

First Name

CAROLYN

Middle

KELLY

Last Name

LAGATTUTA

Prefix

Business Name

CAROLYN KELLY LAGATTUTA DO

Original Issue Date

02/18/2020

Effective Date

09/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

09/05/2023