LATANJA MARIA WATKINS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057191

License Status

CANCELLED

Business

Title

First Name

LATANJA

Middle

MARIA

Last Name

WATKINS

Business Name

LATANJA MARIA WATKINS MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

05/07/2012