ITASCA LATIESE WAITERS DC Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038010199

License Status

ACTIVE

Business

First Name

ITASCA

Middle

LATIESE

Last Name

WAITERS

Suffix

Business Name

ITASCA LATIESE WAITERS DC

Original Issue Date

07/21/2004

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2023