LANE MARIE LAGATTUTA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159941

License Status

ACTIVE

Business

Title

First Name

LANE

Middle

MARIE

Last Name

LAGATTUTA

Business Name

LANE MARIE LAGATTUTA DO

Original Issue Date

03/24/2022

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023