LATIA HOLDER ILYADIS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158219

License Status

ACTIVE

Business

Title

First Name

LATIA

Middle

HOLDER

Last Name

ILYADIS

Business Name

LATIA HOLDER ILYADIS DO

Original Issue Date

09/03/2021

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60604

County

COOK

Ever Disciplined

LastModifiedDate

05/24/2023