MICHAL LATA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070330

License Status

EXPIRED

Business

Title

First Name

MICHAL

Last Name

LATA

Business Name

MICHAL LATA MD

Original Issue Date

06/27/2018

Effective Date

06/27/2018

Expiration Date

06/26/2019

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/02/2019