ASHLEY NICOLE LAFATA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063835

License Status

CANCELLED

Business

Title

First Name

ASHLEY

Middle

NICOLE

Last Name

LAFATA

Business Name

ASHLEY NICOLE LAFATA MD

Original Issue Date

06/23/2013

Effective Date

06/23/2013

Expiration Date

06/22/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014