DEBRA D SUSIE LATTNER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015936

License Status

EXPIRED

Business

First Name

DEBRA D SUSIE

Last Name

LATTNER

Business Name

DEBRA D SUSIE LATTNER

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

06/27/1985

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006