SEAN DAVID LATTIMORE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

SEAN

Middle

DAVID

Last Name

LATTIMORE

Suffix

Business Name

SEAN DAVID LATTIMORE DO

Original Issue Date

04/10/2000

Effective Date

04/10/2000

Expiration Date

07/31/2002

City

WATERLOO

State

Zip

62298

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020