KATIE LYNN VANNATTA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071998

License Status

CANCELLED

Business

Title

First Name

KATIE

Middle

LYNN

Last Name

VANNATTA

Business Name

KATIE LYNN VANNATTA DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

01/31/2022

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/15/2021