KRISTEN ANNE LATTA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070370

License Status

EXPIRED

Business

Title

First Name

KRISTEN

Middle

ANNE

Last Name

LATTA

Business Name

KRISTEN ANNE LATTA DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

10/11/2022